Active NPI
Jesse Santoyo, FNP-C
- Family Nurse Practitioner
- Burbank, CA
National Provider Identifier
1437699360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006255
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinu-Clear Inc | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.