David I Santillan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

F2056507 Issued in CA

Practice address

612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406

Phone

(760) 992-3039

NPI assigned

Oct 17, 2021

Last updated

Oct 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1225791239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31080 SKY BLUE WATER TRL",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922342761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S MYRTLE AVE STE 100",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163406",
            "telephone_number": "760-992-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN",
        "first_name": "DAVID",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F2056507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Santiago
• Stephanie Santiago
• Aremi Santigo
• Patricia Lizbeth Santillan Rendon
• Adrianna Santillan
• Gladys Santillan
• Cheyenne Santistevan
• Sandra Santivanez
• Sofia Santivanez
• Aundreja Santizo

• Behavior Technician in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.