Organization Active NPI

Santaniello Orthopaedic Medical Corporation

  • Specialist
  • Upland, CA
National Provider Identifier
1265651608
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21403 Issued in CA
Legal business name
SANTANIELLO ORTHOPAEDIC MEDICAL CORPORATION
Practice address
1238 E Arrow Hwy
Upland, CA 91786-4951
Phone
(909) 982-4233
Fax
(909) 985-1103
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. John D Santaniello, M.D.
Title
President
Phone
(909) 982-4233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G21403 CA Primary

Addresses

Primary practice location

1238 E Arrow Hwy
Upland, CA 91786-4951

Mailing address

1238 E. Arrow Hwy.
Upland, CA 91786-4910
Phone (909) 982-4233

Other identifiers 4

IdentifierTypeStateIssuer
G214030OtherCALICENSE
00G214031OtherCAMEDICARE INDIVIDUAL PTAN
1265651608OtherCASANTANIELLO ORTHO (NPI)
1124120696OtherCAJOHN SANTANIELLO (NPI)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1265651608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E. ARROW HWY.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864910",
            "telephone_number": "909-982-4233",
            "fax_number": "909-985-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864951",
            "telephone_number": "909-982-4233",
            "fax_number": "909-985-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTANIELLO ORTHOPAEDIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "SANTANIELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-982-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G214030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "00G214031",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTANIELLO ORTHO (NPI)",
            "identifier": "1265651608",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN SANTANIELLO (NPI)",
            "identifier": "1124120696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.