Roberto Santos Capistrano, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21567 Issued in CA

Practice address

1046 Greycloud LN
Diamond Bar, CA 91765-4219

Phone

(909) 964-9265

NPI assigned

Dec 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1942911219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 GREYCLOUD LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654219",
            "telephone_number": "909-964-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 GREYCLOUD LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654219",
            "telephone_number": "909-964-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPISTRANO",
        "first_name": "ROBERTO",
        "middle_name": "SANTOS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rehab-time@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "work-email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "1046 Greycloud Ln",
            "city": "Diamond Bar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917654219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rehab-time@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "1046 Greycloud Ln",
            "city": "Diamond Bar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917654219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faisal Karim Butt, M.SC
• Robert Cadiz
• Joseph Godoy Cala, PTA
• California Dermatology Center
• Melissa Marcia Campitelli-Smith, PSY.D.
• Giovanna Carbajal, LCSW
• Care Professionals Home Care Inc
• Careone Medical Group, Inc
• Careone Medical Group, Inc.
• Careyes Hospice Inc.

• Physical Therapist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.