Suely Suzana Santos

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95012911 Issued in CA

Practice address

13111 Avenida Grande
San Diego, CA 92129-2908

Phone

(305) 877-3241

NPI assigned

Feb 24, 2026

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1114871506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 AVENIDA GRANDE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 AVENIDA GRANDE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292908",
            "telephone_number": "305-877-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "SUELY",
        "middle_name": "SUZANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roel Santos, M.S.
• Rogelio Jonathan Santos
• Ronnie Cajes Santos Jr.
• Sandra Isabel Santos, OTR/L, CLT
• Shianne Vargas Santos
• Susanna Santos
• Thuy Vo Santos, MFT
• Tracy Fullenwider Santos, DO
• Agnes C Santosa, M.D.
• Jessica Christabella Santoso, PHARMD

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.