Saint Anne Medical Group Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SAINT ANNE MEDICAL GROUP INC

Practice address

9655 Monte Vista Ave Ste 405
Montclair, CA 91763-2238

Phone

(909) 230-0101

Fax

(909) 405-1122

NPI assigned

Feb 19, 2018

Last updated

Aug 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Bautista Bautista, NP

Title

President

Phone

(909) 230-0101

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Bautista Santiago, NP

  • Women's Health Nurse Practitioner
  • Norwalk, CA
  • NPI 1245351485
  NPD

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1174023857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 405",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-230-0101",
            "fax_number": "909-405-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 405",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-230-0101",
            "fax_number": "909-405-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANNE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-230-0101",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Louise Russell
• S. Dave Srikureja DDS, a Professional Corporation (Montclair Plaza Dental Group)
• Desirae E Saavedra
• Mazin Q Sabri, M.D.
• Jagdeep Sahota
• Saint Anne Medical Providers, Inc.
• Stephanie Sakamoto, CCC-SLP
• Sirus Keyvan Salari
• Gabriela Salas Simental
• Hailey Adely Salas

• Obstetrics & Gynecology Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.