Active NPI
Santorini Enterprises, LLC.
- Ambulatory Surgical Clinic/Center
- Redlands, CA
National Provider Identifier
1124779202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SANTORINI ENTERPRISES, LLC.
- Practice address
- 415 Brookside Ave
Redlands, CA 92373-4609 - Phone
- (714) 766-5882
- NPI assigned
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Fanous, MD
- Title
- Medical Director / Owner
- Phone
- (714) 766-5882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
415 Brookside Ave
Redlands, CA 92373-4609
Mailing address
415 Brookside Ave
Redlands, CA 92373-4609
Phone (714) 766-5882
Other names 1
- Redlands Surgery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2343261 | Santorini Enterprises, LLC | Certificate of waiver | May 3, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1124779202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734609",
"telephone_number": "714-766-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734609",
"telephone_number": "714-766-5882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTORINI ENTERPRISES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "FANOUS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR / OWNER",
"authorized_official_telephone_number": "714-766-5882",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Redlands Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redlands, CA
- Sang Eun Lee D.D.S. Inc.
- Miguel Sanint Palau, LMFT
- Francisco Manuel Santana, H.A.D. LICENSE
- Michelle Lorraine Santiago del Valle, SLP
- Luis Alberto S Santillan
- Casandra Santos, PPS
- Jescelyn A Santos
- Katalena Anastasia Saracino, R.T. (R)(CT)(ARRT)
- Jessica Lynn Saran, LCSW
- Crystal Hennah Sarbuland, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.