Individual provider Active NPI

John Daniel Santaniello, M.D.

  • Specialist
  • Upland, CA
National Provider Identifier
1124120696
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21403 Issued in CA
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

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G21403OtherCAMEDICAL LICENSE
1124120696OtherCAJOHN SANTANIELLO (NPI)
1265651608OtherCASANTANIELLO ORTHO (NPI)
ZZZ05630ZOtherCAMEDICARE 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

LicenseStateTypeSpecialty
G21403CAMDSpecialist

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.

Verify at the official NPI Registry.