Individual provider Active NPI

Jesse Santoyo, FNP-C

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1437699360
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006255 Issued in CA
Practice address
2625 W Alameda Ave Ste 506
Burbank, CA 91505-4816
Phone
(818) 843-5864
Fax
(818) 843-5860
NPI assigned
Feb 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006255 CA Primary

Addresses

Primary practice location

2625 W Alameda Ave Ste 506
Burbank, CA 91505-4816

Mailing address

PO Box 70084
Pasadena, CA 91117-7084
Phone (818) 843-5864

Other practice location 1

624 W Duarte Rd Ste 106
Arcadia, CA 91007-9255
Phone (626) 447-4483

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130002078 CA Practitioner - Nurse Practitioner 6406227453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinu-Clear Inc CurrentSince Nov 15, 2025 Accepting new patients

Locations

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1437699360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70084",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911177084",
            "telephone_number": "818-843-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE STE 506",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054816",
            "telephone_number": "818-843-5864",
            "fax_number": "818-843-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 W Duarte Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910079255",
            "country_code": "US",
            "telephone_number": "626-447-4483",
            "fax_number": "626-447-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOYO",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-25",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.