Organization Active NPI

Driving Fitness Evaluations

  • Health Maintenance Organization
  • Garden Grove, CA
National Provider Identifier
1154776045
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
DRIVING FITNESS EVALUATIONS
Practice address
12556 Josephine St Apt D
Garden Grove, CA 92841-4657
Phone
(562) 213-9225
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Ernest Callera Santos, OTR/L, DRS
Title
Occupational Therapist/Owner
Phone
(562) 209-8281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CA
Health Maintenance Organization 302R00000X CA Primary

Addresses

Primary practice location

12556 Josephine St Apt D
Garden Grove, CA 92841-4657

Mailing address

12556 Josephine St Apt D
Garden Grove, CA 92841-4657
Phone (562) 213-9225

Other names 1

  • Ernest Callera Santos Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1154776045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12556 JOSEPHINE ST APT D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414657",
            "telephone_number": "562-213-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12556 JOSEPHINE ST APT D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414657",
            "telephone_number": "562-213-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVING FITNESS EVALUATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "CALLERA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "562-209-8281",
        "authorized_official_credential": "OTR/L, DRS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ernest Callera Santos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.