Active NPI
Luis A Santana, PA-C
- Medical Physician Assistant
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 55547
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | General Practice | Current | Accepting new patients |
| Neighborhood Healthcare | General Practice | Current | Accepting new patients |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | General Practice | Past | Accepting new patients |
| Neighborhood Healthcare | Past | Accepting new patients | |
| Neighborhood Healthcare | General Practice | Past | Accepting new patients |
| Central City Community Health Center, Inc. | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
General Practice
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
General Practice
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1144842014
-
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
General Practice
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1942014337
-
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1154786846
General Practice
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1447847207
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.