Susana V Santiago-Soriano, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A68987 Issued in CA

Practice address

3908 Beverly Blvd
Los Angeles, CA 90004-3407

Phone

(213) 388-2508

Fax

(213) 388-5377

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Susana Santiago-Soriano

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1477696714
  NPD (past) Authorized official
• Susana Santiago-Soriano MD Inc

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1336296565
  NPD (past) Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1376758490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043407",
            "telephone_number": "213-388-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043407",
            "telephone_number": "213-388-2508",
            "fax_number": "213-388-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-SORIANO",
        "first_name": "SUSANA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A68987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tino Santhon
• Sessy Santi, REGISTER COUNSELOR
• Justo Santiago Forero
• Margarita Santiago Martinez, MD
• Lorna Regina Santiago Suratos, NP
• Alicia Santiago, L.C.S.W.
• Consorcia E. Santiago, RN
• Danielle Soleil Santiago
• Jereen Santiago
• Jessica Santiago

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.