Jacqueline M. Santa Iglesia, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296413 Issued in CA

Practice address

1241 E Hillsdale Blvd Ste 170
Foster City, CA 94404-1259

Phone

(650) 571-5185

Fax

(650) 571-5183

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1497217095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261141",
            "telephone_number": "408-606-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E HILLSDALE BLVD STE 170",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041259",
            "telephone_number": "650-571-5185",
            "fax_number": "650-571-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA IGLESIA",
        "first_name": "JACQUELINE",
        "middle_name": "M.",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage and Wong Chiropractic Professional Corporation
• Patrick Sage
• Reza R Sanjar, DMD
• Maira Sant Anna
• Santa Clara Co Ipa
• Joseph Sarsour, D.P.T.
• Frank Austin Saunders, PH.D.
• Karen Anne Schwarz, PH.D.
• Scientific Acupuncture Center, Inc.
• Select Physical Therapy Holdings Inc

• Physical Therapist in Foster City, CA
• Providers in Foster City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.