Active NPI
Charmaine Pamintuan Santos, PA-C
- Physician Assistant
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3903 Lone Tree Way Ste 104
Antioch, CA 94509-6251 - Phone
- (925) 755-1255
- Fax
- (925) 755-1259
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3903 Lone Tree Way Ste 104
Antioch, CA 94509-6251
Mailing address
3903 Lone Tree Way Ste 104
Antioch, CA 94509-6251
Phone (925) 755-1255
Other practice location 1
3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (800) 607-6377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
3903 Lone Tree Way
Ste 104
Antioch, CA 94509
Phone (415) 755-1255
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Orthopaedic Surgery Physician
- Castro Valley, CA
- NPI 1093181646
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1386341576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 LONE TREE WAY STE 104",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096251",
"telephone_number": "925-755-1255",
"fax_number": "925-755-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 LONE TREE WAY STE 104",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096251",
"telephone_number": "925-755-1255",
"fax_number": "925-755-1259"
}
],
"practiceLocations": [
{
"address_1": "3100 Telegraph Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093239",
"country_code": "US",
"telephone_number": "800-607-6377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "CHARMAINE",
"middle_name": "PAMINTUAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.