Paul Richard Santoyo, DDS
Individual provider Active NPI Dentist · Calipatria, CA
NPI 1124179619 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124179619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 27834 (CA)
- Practice address
- 7018 Blair Rd
Calipatria, CA 92233-9633 - Phone
- (760) 348-7000
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27834 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27834 | CA | Yes |
Addresses
Primary practice location
7018 Blair Rd
Calipatria, CA 92233-9633
Mailing address
642 Lenrey Ave
El Centro, CA 92243-3935
Phone (760) 352-8425
Other providers in Calipatria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.