Active NPI
John Daniel Santaniello, M.D.
- Specialist
- Upland, CA
National Provider Identifier
1124120696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G21403
- Practice address
- 1238 E Arrow Hwy
Upland, CA 91786-4951 - Phone
- (909) 982-4233
- Fax
- (909) 985-1103
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G21403 | CA | Primary |
Addresses
Primary practice location
1238 E Arrow Hwy
Upland, CA 91786-4951
Mailing address
1238 E Arrow Hwy
Upland, CA 91786-4951
Phone (909) 982-4233
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G21403 | Other | CA | MEDICAL LICENSE |
| 1124120696 | Other | CA | JOHN SANTANIELLO (NPI) |
| 1265651608 | Other | CA | SANTANIELLO ORTHO (NPI) |
| ZZZ05630Z | Other | CA | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21403 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1124120696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 E ARROW HWY",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864951",
"telephone_number": "909-982-4233",
"fax_number": "909-985-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 E ARROW HWY",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864951",
"telephone_number": "909-982-4233",
"fax_number": "909-985-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANIELLO",
"first_name": "JOHN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G21403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G21403",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN SANTANIELLO (NPI)",
"identifier": "1124120696",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTANIELLO ORTHO (NPI)",
"identifier": "1265651608",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "ZZZ05630Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.