Shirley Ocampo Santos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53944 Issued in CA

Practice address

17482 Irvine Blvd Ste B
Tustin, CA 92780-3032

Phone

(714) 368-0222

Fax

(714) 368-0225

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Shirley Santos, DDS Inc

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1851681738
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1598975476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17482 IRVINE BLVD STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803032",
            "telephone_number": "714-368-0222",
            "fax_number": "714-368-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17482 IRVINE BLVD STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803032",
            "telephone_number": "714-368-0222",
            "fax_number": "714-368-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "SHIRLEY",
        "middle_name": "OCAMPO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn M Sandburg, PSYCH MFT
• Santa Ana Tustin Podiatry Corporation
• Victoria Santacruz
• Carissa Santiago
• Michael Santos
• Arika Sapkota
• John A Sarkaria, M.D.
• Danielle Sarna
• Shari Sarto, L.AC.
• Masaharu Sasaki, D.C.,L.AC.

• General Practice Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.