Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanam Ejaz, PTA

Individual provider Physical Therapy Assistant · NPI 1295511608

Sanam Ejaz, PTA is a Physical Therapy Assistant in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

9695 Base Line Rd
Rancho Cucamonga, CA 91730-1314
Phone: (909) 481-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 50639 (CA)

Record details

NPI number1295511608
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 1, 2023
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address6350 Serpens Ct, Eastvale, CA 91752-7616

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