Erwin Jesus De Los Santos Gervacio

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

225 N Mariposa Ave
Los Angeles, CA 90004-4509

Phone

(213) 736-5441

NPI assigned

Jun 23, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1386531069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 E BEVERLY BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900222020",
            "telephone_number": "323-499-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MARIPOSA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044509",
            "telephone_number": "213-736-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS GERVACIO",
        "first_name": "ERWIN",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Longpre Medical Center Inc
• De Los Dos: a Licensed Clinical Social Worker Corporation
• Iris K De Los Reyes, L.C.S.W.
• Ma Cristina V De Los Reyes, PT
• Isabel De Los Rios
• Austin De Los Santos, DDS
• Emily Nicole De Los Santos
• Irene De Los Santos, PT
• Julie Ann Therese De Los Santos, NP
• Ruty De Los Santos

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.