J.a.L. Santos M.D. Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A38626 Issued in CA

Legal business name

J.A.L. SANTOS M.D. INC

Practice address

1020 S Anaheim Blvd
Suite 220
Anaheim, CA 92805-5851

Phone

(714) 635-7127

Fax

(714) 772-3521

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joey Arcadio Luna Santos, M.D.

Title

President

Phone

(714) 635-7127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Joey Arcadio L Santos, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1386656114
  Medicare reassignment NPD
• Eleni Catli Lising, FNP-C

  • Family Nurse Practitioner
  • Anaheim, CA
  • NPI 1568230514
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1245540475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD",
            "address_2": "SUITE 220",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055851",
            "telephone_number": "714-635-7127",
            "fax_number": "714-772-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD",
            "address_2": "SUITE 220",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055851",
            "telephone_number": "714-635-7127",
            "fax_number": "714-772-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.L. SANTOS M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "JOEY ARCADIO",
        "authorized_official_middle_name": "LUNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-635-7127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A38626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pheobe Suzanne Elan Ivy
• Usha P Iyer, MD
• Nancy Izaguirre
• J. Moucharrafie, MD, Inc.
• J. Yoo M.D., PC
• J&E Supplies & Services LLC
• Jay T. Jablow, MD
• Janice Jabonero
• Veena Theresa Sandejas Jacildo, PTA
• Jack Gutman DO Professional Corp

• Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.