Elizabeth G. Santos, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ELIZABETH G. SANTOS, INC

Doing business as

Elizabeth Homes San Ricardo

Practice address

6280 San Ricardo Way
Buena Park, CA 90620-2846

Phone

(714) 527-9145

Fax

(714) 736-0931

NPI assigned

Nov 8, 2013

Last updated

Nov 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth G Santos, BSE

Title

President

Phone

(714) 828-0465

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Homes San Ricardo Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114356276. Details of each certification follow.

• CCN 55G419 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G419

Legal name

ELIZABETH HOMES - SAN RICARDO WAY

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Mar 5, 2002

Last certification

Dec 11, 2025

Beds

6

Ownership / control type

Private (proprietary)

Most recent change of ownership

Jan 13, 2012

Facility address

6280 San Ricardo Way
Buena Park, CA 90620

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Elizabeth G Santos Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Elizabeth G. Santos

  dba Elizabeth Homes 1

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
  • NPI 1659700474
  NPD tax ID
• Elizabeth G. Santos, Inc

  dba Elizabeth Homes

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cypress, CA
  • NPI 1437241692
  NPD tax ID
• Elizabeth G. Santos, Inc

  dba Elizabeth Homes San Rafael

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
  • NPI 1669801726
  NPD tax ID
• Elizabeth G. Santos, Inc

  dba Elizabeth Homes 3

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
  • NPI 1730518895
  NPD tax ID
• Elizabeth G. Santos, Inc

  dba Elizabeth Homes 2

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
  • NPI 1821427980
  NPD tax ID

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1114356276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 SAN RICARDO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202845",
            "telephone_number": "714-527-9145",
            "fax_number": "714-736-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SAN RICARDO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202846",
            "telephone_number": "714-527-9145",
            "fax_number": "714-736-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH G. SANTOS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-828-0465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSE"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Homes San Ricardo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward S. Suh DMD Inc (Plaza Dental Care)
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• Elite Orthopedic Physical Therapy, Apc
• Elizabeth G. Santos (Elizabeth Homes 1)
• Elizabeth G. Santos, Inc (Elizabeth Homes San Rafael)
• Elizabeth G. Santos, Inc (Elizabeth Homes 3)
• Elizabeth G. Santos, Inc (Elizabeth Homes 2)
• Elizabeth J. Kim, PH.D., Inc.
• Elizabeth Varughese DDS Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.