Individual provider Active NPI

Luis A Santana, PA-C

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1154810679
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
55547 Issued in CA
Practice address
4371 Latham St
Riverside, CA 92501
Phone
(833) 867-4642
Fax
(360) 462-2757
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 55547 CA Primary

Addresses

Primary practice location

4371 Latham St
Riverside, CA 92501

Mailing address

215 S Hickory St
Escondido, CA 92025-4359
Phone (833) 867-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301002234 CA Practitioner - Physician Assistant 9638418056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

41840 Enterprise Cir N
Temecula, CA 92590-5654
Phone (951) 225-6400

4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare General Practice CurrentSince Jun 1, 2025 Accepting new patients
Neighborhood Healthcare General Practice CurrentSince Jun 1, 2025 Accepting new patients
Central City Community Health Center Inc CurrentSince Jan 13, 2025 Accepting new patients
Central City Community Health Center Inc General Practice Past Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 2021 Accepting new patients
Neighborhood Healthcare General Practice Past Accepting new patients
Central City Community Health Center, Inc. PastSince Feb 9, 2025 Accepting new patients

Locations

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

425 N Date St
#0
Escondido, CA 92025

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

4371 Latham St
Ste 200
Riverside, CA 92501

4371 Latham St
Riverside, CA 92501

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: luis.santana@49412312072196.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1154810679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254359",
            "telephone_number": "833-867-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 LATHAM ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92501",
            "telephone_number": "833-867-4642",
            "fax_number": "360-462-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.