Active NPI
Jorge Paul Santana, D.C.
- Chiropractor
- Brea, CA
National Provider Identifier
1124178504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17593
- Practice address
- 400 W Lambert Rd
Suite A2
Brea, CA 92821-3936 - Phone
- (714) 529-3422
- Fax
- (714) 529-3357
- NPI assigned
- Jan 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 17593 | CA | Primary |
| Sports Physician Chiropractor | 111NS0005X | 17593 | CA |
Addresses
Primary practice location
400 W Lambert Rd
Suite A2
Brea, CA 92821-3936
Mailing address
400 W Lambert Rd
Suite A2
Brea, CA 92821-3936
Phone (714) 529-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080812000889 | CA | Practitioner - Chiropractic | 5799850657 | Practice locations: Brea, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 W Lambert Rd
A2
Brea, CA 92821-3936
Phone (714) 529-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17593 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1124178504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W LAMBERT RD",
"address_2": "SUITE A2",
"city": "BREA",
"state": "CA",
"postal_code": "928213936",
"telephone_number": "714-529-3422",
"fax_number": "714-529-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W LAMBERT RD",
"address_2": "SUITE A2",
"city": "BREA",
"state": "CA",
"postal_code": "928213936",
"telephone_number": "714-529-3422",
"fax_number": "714-529-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANA",
"first_name": "JORGE",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17593",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "17593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.