Gerardo Barajas Santillan, RN,MA,BS

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

699278 Issued in CA

Practice address

9237 Ventana LN
North Hills, CA 91343-3478

Phone

(818) 456-9616

NPI assigned

Oct 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Mr. Gerardo Barajas Santillan Professional name

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. Confirm with the OIG exclusions search.

Credentials

Bachelor of Science, Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192233600000",
    "number": "1033307103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 VENTANA LN",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433478",
            "telephone_number": "818-456-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 VENTANA LN",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433478",
            "telephone_number": "818-456-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN",
        "first_name": "GERARDO",
        "middle_name": "BARAJAS",
        "name_prefix": "Mr.",
        "credential": "RN,MA,BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-13",
        "last_updated": "2007-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "699278",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "699278",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "699278",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "699278",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "699278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARDO",
            "last_name": "SANTILLAN",
            "middle_name": "BARAJAS",
            "prefix": "MR.",
            "credential": "RN,MA,BS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey R Sandler, M.D.
• Gabriella L. Sandoval
• Melissa Sandoval
• Teresa Sandoval
• Rosa Santiesteban
• Joanna Gayle Sarinas
• Luiza Sarkisyan
• Tiffany Lauren Sarris, LMFT
• Samantha Meherun Sarwar, MSW
• Denise Saucedo

• Home Health Registered Nurse in North Hills, CA
• Providers in North Hills, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.