Individual provider Active NPI

Sonia Rocio Santana, DO

  • Obstetrics & Gynecology Physician
  • Pleasanton, CA
National Provider Identifier
1114909652
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A9292 Issued in CA
Practice address
5565 W Las Positas
Suite 200
Pleasanton, CA 94588
Phone
(925) 416-6846
Fax
(925) 416-6847
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A9292 CA Primary

Addresses

Primary practice location

5565 W Las Positas
Suite 200
Pleasanton, CA 94588

Mailing address

5565 W Las Positas
Suite 200
Pleasanton, CA 94588
Phone (925) 416-6846

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000330 CA Practitioner - Obstetrics/Gynecology 1850318783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Community Health Center IncGroup PAC ID 3577474634, 20 clinicians

Practice addresses (Care Compare)

1796 Bay Rd
BLDG 2
East Palo Alto, CA 94303-1611

1798 A Bay Rd
East Palo Alto, CA 94303-5312

1798 Bay Rd
Suite a
East Palo Alto, CA 94303-5312
Phone (650) 330-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9292CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Community Health Center Inc CurrentSince Dec 1, 2019 Accepting new patients
South County Community Health Center Inc CurrentSince Dec 1, 2019 Accepting new patients
Sonia Santana DO a Professional Corporation PastSince Oct 1, 2005 Accepting new patients

Locations

1885 Bay Rd
East Palo Alto, CA 94303
Phone (650) 330-7400

1798 Bay Rd
Ste A
East Palo Alto, CA 94303
Phone (650) 330-7400

Organizations & group practices 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1114909652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS",
            "address_2": "SUITE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-416-6846",
            "fax_number": "925-416-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS",
            "address_2": "SUITE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-416-6846",
            "fax_number": "925-416-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "SONIA",
        "middle_name": "ROCIO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.