Individual provider Active NPI

Reynaldo B Santa Mina, MD

  • Neurology Physician
  • Sacramento, CA
National Provider Identifier
1144221383
Registry record updated Sep 21, 2009
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A67778 Issued in CA
Practice address
3480 Ternhaven Way
Sacramento, CA 95835-2454
Phone
(916) 418-4884
NPI assigned
Aug 10, 2005
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A677780MedicaidCA

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67778CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynaldo B Santmaina MD Neurology PastSince Jul 26, 2004 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

Verify at the official NPI Registry.