Active NPI
Enrique Santana, DC
- Chiropractor
- San Pedro, CA
National Provider Identifier
1003197492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32082
- Practice address
- 28122 S Western Ave
San Pedro, CA 90732-1248 - Phone
- (310) 935-2470
- Fax
- (424) 536-3013
- NPI assigned
- Aug 30, 2011
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32082 | CA | Primary |
Addresses
Primary practice location
28122 S Western Ave
San Pedro, CA 90732-1248
Mailing address
28122 S Western Ave
San Pedro, CA 90732-1248
Phone (310) 935-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
28122 S Western Ave
San Pedro, CA 90732-1248
Phone (310) 935-2470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gutierrez Chiropractic Management Incorporated | Chiropractor | Current | Accepting new patients |
| Maya Chiropractic Center Inc | Chiropractor | Past | Accepting new patients |
Locations
28122 S Western Ave
San Pedro, CA 90732
Phone (310) 935-2470
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- San Pedro, CA
- NPI 1710432554
-
- Chiropractor
- San Pedro, CA
- NPI 1457100281
-
- Chiropractor
- San Fernando, CA
- NPI 1700199791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1003197492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28122 S WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907321248",
"telephone_number": "310-935-2470",
"fax_number": "424-536-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28122 S WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907321248",
"telephone_number": "310-935-2470",
"fax_number": "424-536-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA",
"first_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.