Active NPI
Hector Francisco De Los Santos
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1457098824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32690
- Practice address
- 20377 SW Acacia St
Newport Beach, CA 92660-0780 - Phone
- (949) 237-2806
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32690 | CA | Primary |
Addresses
Primary practice location
20377 SW Acacia St
Newport Beach, CA 92660-0780
Mailing address
1 Saint Joseph Ave Apt D
Long Beach, CA 90803-3179
Phone (949) 293-8198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32690 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1457098824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAINT JOSEPH AVE APT D",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033179",
"telephone_number": "949-293-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20377 SW ACACIA ST",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926600780",
"telephone_number": "949-237-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "HECTOR",
"middle_name": "FRANCISCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "32690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.