Santiago Dayoan Corpuz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A38757 Issued in CA

Practice address

4643 Beverly Blvd Ste 101
Los Angeles, CA 90004-3101

Phone

(323) 461-4183

Fax

(323) 461-0864

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Healthcare Medical Corporation

  • General Practice Physician
  • El Monte, CA
  • NPI 1417992074

  Family Medicine

  NPD
• California Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  NPD (past)
• Milton Medical Clinic, P.C.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1215429493
  NPD (past)
• Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1184199275
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544832000000",
    "number": "1013035609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 BEVERLY BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043101",
            "telephone_number": "323-461-4183",
            "fax_number": "323-461-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 BEVERLY BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043101",
            "telephone_number": "323-461-4183",
            "fax_number": "323-461-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "SANTIAGO",
        "middle_name": "DAYOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38757",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corporate Communicology Solutions, Inc.
• Corporate Spinal Wellness Systems
• Elizabeth Amanda Corpstein, LMFT
• Corpus Art Physical Therapy Professional Corp
• Derek Chandler Corpus, M.B.B.S.
• Michael Corradino, PHD
• Adriana Corral
• Daisy Corral
• Estrellazul Marisol Corral, MSW
• Ildiko Tabori Corral, PH.D.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2018; 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.