Santibanez Pac Indiana

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

SANTIBANEZ PAC INDIANA

Practice address

2026 E 54TH St
Indianapolis, IN 46220-3490

Phone

(317) 253-6950

NPI assigned

Nov 24, 2023

Organization subpart

No

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

Authorized official

Name

Julie Roser

Title

VP of Operations

Phone

(775) 222-0045

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1255106852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10775 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 E 54TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203490",
            "telephone_number": "317-253-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIBANEZ PAC INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "ROSER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "775-222-0045"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Santerre, LAT, ATC
• Alan Santes-Diaz
• Jabakar Santhosam, PT
• Julia Santi, DDS
• Savannah Marie Santiago
• Carlos Jose Santoni, MD
• Simone Santoro Angelo Zaragoza, MD
• Linda J Santoro
• Michael Aaron Santoro
• Joseph Repaso Santos, D.O.

• Geriatric Medicine (Internal Medicine) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.