Active NPI
Samuel J Santoro, DO
- Obstetrics & Gynecology Physician
- Castro Valley, CA
National Provider Identifier
1013023795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A4883
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020AX48830 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4883 | CA | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- 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.