NPIMap

Individual provider Active NPI

Robert Thomas Santos, M.D.

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1356340384
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G40697 Issued in CA
Practice address
5565 W Las Positas Blvd
Suite #260
Pleasanton, CA 94588-4001
Phone
(925) 460-8478
Fax
(925) 734-0517
NPI assigned
Jul 20, 2005
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G40697 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd
Suite #260
Pleasanton, CA 94588-4001

Mailing address

5565 W Las Positas Blvd
Suite #260
Pleasanton, CA 94588-4001
Phone (925) 460-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090107000561 CA Practitioner - Internal MedicinePractitioner - Otolaryngology 3971666546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Otolaryngology
Education
George Washington University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

11030 Bollinger Canyon Rd
Suite 250
San Ramon, CA 94582-4874
Phone (925) 373-8000

1133 E Stanley Blvd
Suite 101
Livermore, CA 94550-4270
Phone (925) 454-4280

20642 John Dr
Castro Valley, CA 94546-5103
Phone (888) 924-1036

319 Diablo Rd
Suite 105
Danville, CA 94526-3428
Phone (925) 314-0260

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

5568 Gibraltar Dr
Pleasanton, CA 94588-8544
Phone (888) 924-1036

6121 Hollis St
Emeryville, CA 94608-2077

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40697CAMDGeneral Practice Dentistry
G40697CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients

Locations

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5565 W Las Positas Blvd
Ste 260
Pleasanton, CA 94588
Phone (925) 416-5470

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767

Interoperability endpoints

  • Direct secure messaging: rsantos146681@direct.stanfordhealthcare.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stanford Health CareStanford, CA, CCN 050441 Hospital Corporate Officer Jan 1, 2021
Stanford Health ServicesStanford, CA, CCN 05S441 Hospital Corporate Officer Jan 1, 2021

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1356340384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE #260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-460-8478",
            "fax_number": "925-734-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE #260",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884001",
            "telephone_number": "925-460-8478",
            "fax_number": "925-734-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G40697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.