Individual provider Active NPI

Michael J Santoro, M.D.

  • Gastroenterology Physician
  • Mission Viejo, CA
National Provider Identifier
1396722435
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G67419 Issued in CA
Practice address
27871 Medical Center Rd
Suite 200
Mission Viejo, CA 92691-6404
Phone
(949) 364-5090
Fax
(949) 542-8710
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G67419 CA Primary

Addresses

Primary practice location

27871 Medical Center Rd
Suite 200
Mission Viejo, CA 92691-6404

Mailing address

27871 Medical Center Rd Ste 240
Mission Viejo, CA 92691-6406
Phone (949) 364-5090

Other identifiers 1

IdentifierTypeStateIssuer
00G674190MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michaelsantoro@sjhhandhmg.allscriptsdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000520 CA Practitioner - Gastroenterology 1052417615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400

27799 Medical Ctr Rd
Mission Viejo, CA 92691-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67419CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Internal Medical Group, Inc. Current Accepting new patients
Providence Medical Foundation CurrentSince Jan 1, 2013 Accepting new patients
Providence Medical Foundation CurrentSince Jan 1, 2013 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671

27871 Medical Center Rd
Ste 240
Mission Viejo, CA 92691
Phone (949) 364-5090

26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691

27799 Medical Center Rd
Ste 310
Mission Viejo, CA 92691
Phone (949) 364-5090

27871 Medical Center Rd
Ste 200
Mission Viejo, CA 92691
Phone (949) 347-8314

665 Camino de los Mares
Ste 210
San Clemente, CA 92673
Phone (949) 240-6772

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1396722435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD STE 240",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916406",
            "telephone_number": "949-364-5090",
            "fax_number": "949-542-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916404",
            "telephone_number": "949-364-5090",
            "fax_number": "949-542-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G67419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G674190",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelsantoro@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "27871 Medical Center Rd",
            "address_2": "SUITE 200",
            "city": "Mission Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926916404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.