Organization Active NPI

Premier Medical Doctors Inc.

  • Internal Medicine Physician
  • Tehachapi, CA
National Provider Identifier
1285689117
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER MEDICAL DOCTORS INC.
Practice address
115 W E St
Tehachapi, CA 93561-1607
Phone
(714) 717-8285
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Michael Santillanes, MD
Title
Medical Director
Phone
(714) 717-8285

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

115 W E St
Tehachapi, CA 93561-1607

Mailing address

12523 Limonite Ave
Suite 440-235
Mira Loma, CA 91752-3665
Phone (714) 717-8285

National Provider Directory

National Provider Directory

Locations

12523 Limonite Ave
Ste 440235
Eastvale, CA 91752

4972 Warner Ave
Huntington Beach, CA 92649
Phone (714) 625-4400

659 W Avenue J
Lancaster, CA 93534
Phone (661) 965-1004

2503 Eastbluff Dr
Ste 105
Newport Beach, CA 92660
Phone (949) 760-8065

1213 Hermann Dr
Ste 210
Houston, TX 77004
Phone (713) 955-1707

Practitioners & affiliated clinicians

Practitioners 3

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1285689117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 LIMONITE AVE",
            "address_2": "SUITE 440-235",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917523665",
            "telephone_number": "714-717-8285",
            "fax_number": "951-685-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W E ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611607",
            "telephone_number": "714-717-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL DOCTORS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "SANTILLANES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-717-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.