Christian Ortega Santiago, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1001 S Seaside Ave
San Pedro, CA 90731-7333

Phone

(310) 521-4237

NPI assigned

Jul 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1356022123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S SEASIDE AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S SEASIDE AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907317333",
            "telephone_number": "310-521-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BLD 2- SICKBAY",
            "address_2": "Room 104",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "09834",
            "country_code": "US",
            "telephone_number": "774-563-5549",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "ORTEGA SANTIAGO",
        "first_name": "CHRISTIAN",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "E3523970",
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Ochoa
• Sharon R Ohara, MFT
• Cole Patrick Olvera, PA
• Opus Medical Center Inc.
• John Oladimeji Orija
• Carolyn Ortega
• Elizabeth Ortiz McGhee
• Henry James Ortiz, PSY.D.
• Nicole Ortiz
• Cher'Ryll Orttel

• Independent Duty Corpsman in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.