Active NPI
Citlali Vanessa Santos, RDA
- Dental Assistant
- Anaheim, CA
National Provider Identifier
1518533033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 84766
- Practice address
- 1814 W Lincoln Ave
Anaheim, CA 92801-6730 - Phone
- (714) 805-7719
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 84766 | CA | Primary |
Addresses
Primary practice location
1814 W Lincoln Ave
Anaheim, CA 92801-6730
Mailing address
1814 W Lincoln Ave
Anaheim, CA 92801-6730
Phone (714) 805-7719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Vanessa.Santos@centralcityhealth.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 84766 | CA | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1518533033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 W LINCOLN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016730",
"telephone_number": "714-805-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 W LINCOLN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016730",
"telephone_number": "714-805-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "CITLALI",
"middle_name": "VANESSA",
"name_prefix": "Ms.",
"credential": "RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "84766",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Vanessa.Santos@centralcityhealth.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1814 W Lincoln Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928016730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.