Active NPI
Patricia Alexis Ceniza Santos, NP
- Family Nurse Practitioner
- Sherman Oaks, CA
National Provider Identifier
1154082469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019376
- Practice address
- 4955 Van Nuys Blvd Ste 715
Sherman Oaks, CA 91403-1842 - Phone
- (818) 825-8131
- NPI assigned
- Jan 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95019376 | CA | Primary |
Addresses
Primary practice location
4955 Van Nuys Blvd Ste 715
Sherman Oaks, CA 91403-1842
Mailing address
725 Orange Grove Ave
Glendale, CA 91205-1735
Phone (224) 392-9645
Other practice location 1
130 N Brand Blvd
Glendale, CA 91203-2644
Phone (818) 551-1682
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019376 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot M. Hirsch, M.D., Inc. | Current | Accepting new patients | |
| East Valley Hematolgy and Oncology Medical Group Inc. | Past | Accepting new patients |
Locations
4955 Van Nuys Blvd
Ste 715
Sherman Oaks, CA 91403
Phone (818) 825-8131
4419 Van Nuys Blvd
Ste 214
Sherman Oaks, CA 91403
Phone (818) 784-9940
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Sherman Oaks, CA
- NPI 1356755730
-
- Hematology & Oncology Physician
- Burbank, CA
- NPI 1750307278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1154082469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ORANGE GROVE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051735",
"telephone_number": "224-392-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD STE 715",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031842",
"telephone_number": "818-825-8131"
}
],
"practiceLocations": [
{
"address_1": "130 N Brand Blvd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912032644",
"country_code": "US",
"telephone_number": "818-551-1682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "PATRICIA ALEXIS",
"middle_name": "CENIZA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95019376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.