Active NPI
Michael Santillanes
- Family Medicine Physician
- Tehachapi, CA
National Provider Identifier
1174565162
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A77181
- Practice address
- 115 W E St
Tehachapi, CA 93561-1607 - Phone
- (714) 717-8285
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A77181 | CA | Primary |
Addresses
Primary practice location
115 W E St
Tehachapi, CA 93561-1607
Mailing address
5755 Birchwood Dr
Riverside, CA 92509-7331
Phone (714) 717-8285
Other names 1
- Mario Santillanes
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77181 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Dennis Emergency Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Premier Emergency Physicians of California Medical Group PC | Past | Accepting new patients | |
| Yorktown LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
Family Medicine
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1184673923
-
- Diabetology (Internal Medicine) Physician
- Newport Beach, CA
- NPI 1548187123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174565162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 BIRCHWOOD DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925097331",
"telephone_number": "714-717-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W E ST",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935611607",
"telephone_number": "714-717-8285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTILLANES",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A77181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIO",
"last_name": "SANTILLANES",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.