NPIMap

Individual provider Active NPI

Hector Luis Santiesteban, MEDICAL DOCTOR

  • Nephrology Physician
  • Daly City, CA
National Provider Identifier
1245235738
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G60085 Issued in CA
Practice address
1800 Sullivan Ave RM 507
Daly City, CA 94015-2225
Phone
(650) 472-9667
Fax
(650) 745-7250
NPI assigned
Jun 20, 2005
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G60085 CA Primary

Addresses

Primary practice location

1800 Sullivan Ave RM 507
Daly City, CA 94015-2225

Mailing address

1800 Sullivan Ave RM 507
Daly City, CA 94015-2225
Phone (415) 573-4166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801001166 CA Practitioner - NephrologyPractitioner - Internal Medicine 5799713657 Reassigns benefits to 4 organizations
Practice locations: Daly City, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Emory University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Mateo Dialysis AssociatesGroup PAC ID 5193719268, 7 clinicians
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

1750 El Camino Real
Suite 15
Burlingame, CA 94010-3208
Phone (650) 692-6302

222 W 39TH Ave
San Mateo, CA 94403-4364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60085CAMDGastroenterology Physician
G60085CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Dialysis Associates Nephrology CurrentSince Nov 23, 2014 Accepting new patients
County of San Mateo CurrentSince Jul 1, 2005 Accepting new patients
County of San Mateo Clinic/Center CurrentSince Aug 15, 2017 Accepting new patients
County of San Mateo Clinic/Center CurrentSince Jul 1, 2005 Accepting new patients
County of San Mateo Clinic/Center CurrentSince Jul 1, 2011 Accepting new patients

Locations

1750 El Camino Real
Ste 15
Burlingame, CA 94010
Phone (650) 570-2273

1800 Sullivan Ave
Rm 507
Daly City, CA 94015
Phone (650) 994-2700

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hsantiesteban19251@smch.direct-ci.com
  • Direct secure messaging: hsantiesteban46083@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1245235738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 507",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152225",
            "telephone_number": "415-573-4166",
            "fax_number": "650-745-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 507",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152225",
            "telephone_number": "650-472-9667",
            "fax_number": "650-745-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIESTEBAN",
        "first_name": "HECTOR",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G60085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.