Individual provider Active NPI

John Mason Somerndike, DPT

  • Physical Therapist
  • Orange, CA
National Provider Identifier
1801871983
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27237 Issued in CA
Practice address
1421 N Wanda Rd
Suite 160
Orange, CA 92867-5343
Phone
(714) 771-7047
Fax
(714) 771-7051
NPI assigned
Dec 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27237 CA Primary

Addresses

Primary practice location

1421 N Wanda Rd
Suite 160
Orange, CA 92867-5343

Mailing address

1421 N Wanda Rd
Ste 110
Orange, CA 92867-5343
Phone (714) 771-7047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000395 CA Practitioner - Physical Therapist in Private Practice 6103863675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John M Somerndike Physical Therapy PCGroup PAC ID 4587832431, 3 clinicians

Practice addresses (Care Compare)

2854 N Santiago Blvd
Suite 100
Orange, CA 92867-1700
Phone (714) 771-7047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John M. Somerndike Physical Therapy, PC Physical Therapist CurrentSince Mar 14, 2011 Accepting new patients

Locations

1421 N Wanda Rd
Ste 110
Orange, CA 92867
Phone (714) 771-7047

2854 N Santiago Blvd
Ste 100
Orange, CA 92867
Phone (714) 771-7047

1421 N Wanda Rd
Ste 160
Orange, CA 92867
Phone (714) 532-0999

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1801871983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N WANDA RD",
            "address_2": "STE 110",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675343",
            "telephone_number": "714-771-7047",
            "fax_number": "714-771-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N WANDA RD",
            "address_2": "SUITE 160",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675343",
            "telephone_number": "714-771-7047",
            "fax_number": "714-771-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERNDIKE",
        "first_name": "JOHN",
        "middle_name": "MASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.