Active NPI
Jose R. Cilliani, D.O.
- Family Medicine Physician
- Santa Ana, CA
National Provider Identifier
1265545586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8852
- Practice address
- 420 S Bristol St
Santa Ana, CA 92703-4527 - Phone
- (714) 541-5252
- Fax
- (714) 541-1402
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8852 | CA | Primary |
Addresses
Primary practice location
420 S Bristol St
Santa Ana, CA 92703-4527
Mailing address
420 S Bristol St
Santa Ana, CA 92703-4527
Phone (714) 541-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX88520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 S Bristol St
Santa Ana, CA 92703-4527
Phone (714) 541-5252
7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8852 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Choice Aco Inc | Current | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| South Coast Global Medical Center, Inc | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Locations
7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFGFDD/Endpoint/HFGFDD
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Westminster, CA
- NPI 1396416863
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1568400208
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1558354258
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1265545586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927034527",
"telephone_number": "714-541-5252",
"fax_number": "714-541-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S BRISTOL ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927034527",
"telephone_number": "714-541-5252",
"fax_number": "714-541-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CILLIANI",
"first_name": "JOSE",
"middle_name": "R.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX88520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.