Individual provider Active NPI

Jose Alberto Santoyo, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1073097903
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP11810 Issued in AZ
Practice address
521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241
Phone
(602) 254-0390
NPI assigned
Sep 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP11810 AZ Primary

Addresses

Primary practice location

521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241

Mailing address

521 W Thomas Rd FL 2
Phoenix, AZ 85013-4241
Phone (602) 254-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109002039 AZ Practitioner - Nurse Practitioner 8921344151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 W Thomas Rd
2ND FL
Phoenix, AZ 85103

5980 S Cooper Rd
Suite 4
Chandler, AZ 85249-5394

8009 W Denton LN
Glendale, AZ 85303-5525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP11810AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kids and Family Kare LLC CurrentSince Jun 25, 2023 Accepting new patients
Glendale Pediatrics LLC Past Accepting new patients

Locations

9515 W Camelback Rd
Ste 142
Phoenix, AZ 85037
Phone (602) 903-5365

9515 W Camelback Rd
Ste 1
Phoenix, AZ 85037

7611 W Thomas Rd
Ste C064
Phoenix, AZ 85033
Phone (602) 867-1252

521 W Thomas Rd
Fl 2
Phoenix, AZ 85013
Phone (602) 252-1439

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1073097903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134241",
            "telephone_number": "602-254-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134241",
            "telephone_number": "602-254-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOYO",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP11810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.