Divina Masaquel-Santiago, NURSE PRACTITIONER

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

22518 Issued in CA

Practice address

8006 Briar Oaks Dr
San Ramon, CA 94582-5172

Phone

(650) 580-3155

NPI assigned

May 17, 2013

Last updated

May 17, 2013By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Simi Regional Urgent Care PC

  • Urgent Care Clinic/Center
  • Simi Valley, CA
  • NPI 1316808777
  Medicare reassignment NPD Authorized official
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  NPD
• Bay Area Rehab & Medical

  • Physical Medicine & Rehabilitation Physician
  • Fremont, CA
  • NPI 1518686765
  NPD (past)

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1437595493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8006 BRIAR OAKS DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825172",
            "telephone_number": "650-580-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 BRIAR OAKS DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825172",
            "telephone_number": "650-580-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAQUEL-SANTIAGO",
        "first_name": "DIVINA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "22518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romer Matienzo Martinez
• Sherie Ann Martinez
• Dimple K.a. Marwaha, DPM
• Jatinder Pal Singh Marwaha, M.D.
• Mary E. Hartman, M.D., Inc.
• Patricia Suzanne Maska, M.D.
• Karina Masoian
• Taylour Mason
• Asma Masood
• Leelamini Massaquoi

• Licensed Practical Nurse in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.