Individual provider Active NPI

Israel Santander, DPM

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
National Provider Identifier
1578097978
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5672 Issued in CA
Practice address
201 S Buena Vista St Ste 305
Burbank, CA 91505-4516
Phone
(818) 848-5588
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103301301 VA
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5672 CA Primary

Addresses

Primary practice location

201 S Buena Vista St Ste 305
Burbank, CA 91505-4516

Mailing address

201 S Buena Vista St Ste 305
Burbank, CA 91505-4516
Phone (818) 848-5588

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831002902 CA Practitioner - Podiatry 6901222306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Los Angeles Institute of Foot and Ankle Surgery, Inc.Group PAC ID 3971552324, 7 clinicians

Practice addresses (Care Compare)

201 S Buena Vista St
Suite 305
Burbank, CA 91505-4516
Phone (818) 848-5588

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue207
Removal of skin lesions1-10
Removal of nail tissue517
Removal or shaving of skin growth248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5672CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Institute of Foot and Ankle Surgery, Inc. Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Henry Mayo Newhall Memorial Hospital Single Specialty Past Accepting new patients
Dignity Community Care Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Saint John'S Health Center Single Specialty Past Accepting new patients

Locations

201 S Buena Vista St
Ste 305
Burbank, CA 91505
Phone (818) 848-5588

1808 Verdugo Blvd
Ste 116
Glendale, CA 91208

18531 Roscoe Blvd
Ste 215
Northridge, CA 91324
Phone (818) 700-0411

18350 Roscoe Blvd
Ste 200
Northridge, CA 91325
Phone (323) 423-4237

23911 Calgrove Blvd
Santa Clarita, CA 91321
Phone (661) 505-7079

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: israelsantander.255.7089@securemailmdscloud.mdsynergy.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1578097978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 305",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054516",
            "telephone_number": "818-848-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 305",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054516",
            "telephone_number": "818-848-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANDER",
        "first_name": "ISRAEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301301",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.