Organization Active NPI

Santos a. Uy, Jr MD Inc.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1245435189
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SANTOS A. UY, JR MD INC.
Practice address
711 N. Al Varado St. #103
Los Angeles, CA 90026
Phone
(213) 484-1005
Fax
(213) 484-2053
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. Santos Anizaga Uy Jr., MDNPI 1740290899
Title
President Proprietor
Phone
(213) 484-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

711 N. Al Varado St. #103
Los Angeles, CA 90026

Mailing address

1300 N Vermont Ave Ste 907
Los Angeles, CA 90027-6094
Phone (213) 484-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140403001639 CA Part B Supplier - Clinic/Group Practice 3577795681 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

201 S Alvarado St
Ste 811
Los Angeles, CA 90057
Phone (213) 484-1005

1300 N Vermont Ave
Ste 907
Los Angeles, CA 90027
Phone (213) 413-3000

711 N Alvarado St
Ste 103
Los Angeles, CA 90026
Phone (213) 484-1005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1245435189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 907",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276094",
            "telephone_number": "213-484-1005",
            "fax_number": "323-522-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N. AL VARADO ST. #103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "213-484-1005",
            "fax_number": "213-484-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS A. UY, JR MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "ANIZAGA",
        "authorized_official_title_or_position": "PRESIDENT PROPRIETOR",
        "authorized_official_telephone_number": "213-484-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.