Active NPI
Cassidy West-Santos, MD
- Anesthesiology Physician
- Jacksonville, FL
National Provider Identifier
1073020715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME156429
- Practice address
- 4500 San Pablo Rd S
Jacksonville, FL 32224-1865 - Phone
- (904) 953-2000
- NPI assigned
- Jan 3, 2018
- Last updated
- Aug 29, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME156429 | FL | |
| Anesthesiology Physician | 207L00000X | ME156429 | FL | Primary |
| Military Health Care Provider | 171000000X | 0101267660 | VA |
Addresses
Primary practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000
Other practice location 1
Quentin Roosevelt Blvd
NAS North Island
San Diego, CA 92135
Phone (619) 545-6210
Other practice location 2
3475 N Saratoga Street Naval Health Clinic Oak Harbor
Oak Harbor, WA 98278-0001
Phone (360) 257-9500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwestsantos1748840@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220526002726 | FL | Order and Referring Only - Internal Medicine | 7012395304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101267660 | VA | MD | Military Health Care Provider |
| ME156429 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- cwestsantos1748840@ehrdirect.mayoclinicmsg.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1073020715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-2000"
}
],
"practiceLocations": [
{
"address_1": "Quentin Roosevelt Blvd",
"address_2": "NAS North Island",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92135",
"country_code": "US",
"telephone_number": "619-545-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3475 N Saratoga Street Naval Health Clinic Oak Harbor",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "982780001",
"country_code": "US",
"telephone_number": "360-257-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST-SANTOS",
"first_name": "CASSIDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-03",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME156429",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME156429",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "0101267660",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cwestsantos1748840@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "4500 San Pablo Rd S",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322241865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
- West Jax Primary Care, P.a.
- West Point Optical Group
- West Point Optical Group
- West Side Dental Associates (Matthew J Henry DDS and Robert R Cowie DDS)
- West Third Dental Care Center
- Aaron James West, MD
- Holly Michelle West, MSN, APRN, PMHNP-BC
- Jacqueline Lee West, DMD
- Janet West, MD
- Jeffrey H West, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.