Active NPI
John Patrick Santos Canlas, PT, DPT, SCS
- Physical Therapist
- Thousand Oaks, CA
National Provider Identifier
1942813100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295154
- Practice address
- 3155 Willow LN
Thousand Oaks, CA 91361-4919 - Phone
- (805) 494-4302
- NPI assigned
- Aug 27, 2020
- Reactivated
- Sep 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295154 | CA | Primary |
Addresses
Primary practice location
3155 Willow LN
Thousand Oaks, CA 91361-4919
Mailing address
3155 Willow LN
Thousand Oaks, CA 91361-4919
Phone (425) 422-7754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250508003149 | CA | Practitioner - Physical Therapist in Private Practice | 8022535426 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1942813100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 WILLOW LN",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614919",
"telephone_number": "425-422-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 WILLOW LN",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614919",
"telephone_number": "805-494-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANLAS",
"first_name": "JOHN PATRICK",
"middle_name": "SANTOS",
"credential": "PT, DPT, SCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-27",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"deactivation_date": "2020-08-27",
"reactivation_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.