Active NPI
Reynaldo B Santa Mina, MD
- Neurology Physician
- Sacramento, CA
National Provider Identifier
1144221383
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A67778
- Practice address
- 3480 Ternhaven Way
Sacramento, CA 95835-2454 - Phone
- (916) 418-4884
- NPI assigned
- Aug 10, 2005
- Last updated
- Sep 21, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A67778 | CA | Primary |
Addresses
Primary practice location
3480 Ternhaven Way
Sacramento, CA 95835-2454
Mailing address
3480 Ternhaven Way
Sacramento, CA 95835-2454
Phone (916) 418-4884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A677780 | Medicaid | CA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67778 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynaldo B Santmaina MD | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1144221383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 TERNHAVEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352454",
"telephone_number": "916-418-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 TERNHAVEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958352454",
"telephone_number": "916-418-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTA MINA",
"first_name": "REYNALDO",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A67778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A677780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.