Mark A. De Los Santos, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95007685 Issued in CA

Practice address

1207 E Herndon Ave
Fresno, CA 93720-3235

Phone

(559) 432-4303

Fax

(559) 432-4574

NPI assigned

May 8, 2018

Last updated

May 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cardiovascular Consultants of Fresno, a Professional Corporation

  dba Cardiovascular Consultants Heart Center

  • Interventional Cardiology Physician
  • Fresno, CA
  • NPI 1497724355
  Medicare reassignment NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1063901742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203235",
            "telephone_number": "559-432-4303",
            "fax_number": "559-432-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203235",
            "telephone_number": "559-432-4303",
            "fax_number": "559-432-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Angelina De Leon-Rodriguez, FNP-C
• Alejo De Leon
• Liliana De Leon
• Angelica De Los Santos
• Leticia De Los Santos
• Vanessa Y De Luna Padilla
• Carla C De Luna
• De Novo Non Emergency Medical Transportation Inc.
• Mayson Rose De Ochoa
• Guadalupe De Paz

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.

Verify at the official NPI Registry.