Individual provider Active NPI

Joshua Santo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1316549199
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
248029 Issued in AZ
Practice address
12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone
(623) 227-1000
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 248029 AZ Primary

Addresses

Primary practice location

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021

Mailing address

24759 W Dove RDG
Buckeye, AZ 85326-1744
Phone (623) 670-8592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208001281 AZ Practitioner - Nurse Practitioner 4981018769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family and Childrens ServiceGroup PAC ID 9234028671, 30 clinicians

Practice addresses (Care Compare)

3001 N 33Rd Ave
Phoenix, AZ 85017-5202
Phone (602) 353-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
248029AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service CurrentSince Apr 5, 2021 Accepting new patients
Leading Healthcare Specialist PLLC Psychiatric/Mental Health CurrentSince Oct 16, 2021 Accepting new patients
Leading Healthcare, LLC CurrentSince Jan 22, 2021 Accepting new patients
Jewish Family & Children'S Service CurrentSince Apr 5, 2021 Accepting new patients
Jewish Family & Children'S Service Current Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

11301 N 99th Ave
Peoria, AZ 85345
Phone (623) 876-6100

13215 N 94th Dr
Peoria, AZ 85381
Phone (310) 270-6181

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1316549199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24759 W DOVE RDG",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853261744",
            "telephone_number": "623-670-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTO",
        "first_name": "JOSHUA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "248029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.