Individual provider Active NPI

Samuel J Santoro, DO

  • Obstetrics & Gynecology Physician
  • Castro Valley, CA
National Provider Identifier
1013023795
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A4883 Issued in CA
Practice address
20101 Lake Chabot Rd FL 4
Castro Valley, CA 94546
Phone
(510) 886-3400
Fax
(510) 247-6493
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A4883 CA Primary

Addresses

Primary practice location

20101 Lake Chabot Rd FL 4
Castro Valley, CA 94546

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 886-3400

Other practice location 1

19845 Lake Chabot Rd
Suite 302
Castro Valley, CA 94546-4055
Phone (510) 886-3400

Other practice location 2

770 Mason St
Vacaville, CA 95688-4646
Phone (707) 454-5830

Other practice location 3

100 Hospital Dr Fl 2
Vallejo, CA 94589-2580
Phone (707) 551-3600

Other practice location 4

19845 Lake Chabot Rd
Suite 302
Castro Valley, CA 94546-4055
Phone (510) 886-3400

Other identifiers 1

IdentifierTypeStateIssuer
020AX48830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A4883CAMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: ssantoro50283@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1013023795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-886-3400",
            "fax_number": "510-247-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 LAKE CHABOT RD FL 4",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "94546",
            "telephone_number": "510-886-3400",
            "fax_number": "510-247-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19845 Lake Chabot Rd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945464055",
            "country_code": "US",
            "telephone_number": "510-886-3400",
            "fax_number": "510-581-6517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Mason St",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956884646",
            "country_code": "US",
            "telephone_number": "707-454-5830",
            "fax_number": "707-454-5831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892580",
            "country_code": "US",
            "telephone_number": "707-551-3600",
            "fax_number": "707-551-3656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19845 Lake Chabot Rd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945464055",
            "country_code": "US",
            "telephone_number": "510-886-3400",
            "fax_number": "510-581-6517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A4883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020AX48830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.