Active NPI
Daniel Joseph Desantis, MD
- Cardiovascular Disease Physician
- Oceanside, CA
National Provider Identifier
1003220989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A139601
- Practice address
- Naval Hospital Camp Pendleton
200 Mercy Circle
Oceanside, CA 92055 - Phone
- (760) 716-4061
- Fax
- (760) 725-1303
- NPI assigned
- Jun 18, 2014
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A139601 | CA | Primary |
Addresses
Primary practice location
Naval Hospital Camp Pendleton
200 Mercy Circle
Oceanside, CA 92055
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-5000
Phone (619) 532-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180731004196 | CA | Order and Referring Only - Internal Medicine | 4880942358 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139601 | CA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1003220989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921345000",
"telephone_number": "619-532-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL CAMP PENDLETON",
"address_2": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-716-4061",
"fax_number": "760-725-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2025-01-31",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A139601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
- Dermatologist Medical Group of North County, Inc
- Dermatology Specialists Inc
- William M Dern, D.D.S.
- Rosalba Hernandez Derobbio, MS
- Martha Alicia Derobles
- Kristin Marie Osterman Desantis, M.D.
- Lizette Salazar Deshane, DACM
- Dara Aicklen Desoto, CPM, LM
- Christopher Emile Devereaux, M.D.
- Randi J. Devine, MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.