Carlos E Santos Jr., FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020008511 Issued in CA

Practice address

31700 Temecula Pkwy
Temecula, CA 92592-5896

Phone

(951) 331-2200

NPI assigned

Sep 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charlie Santos Other name

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chest and Critical Care Consultants a Medical GroupGroup PAC ID 7911987961, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Anaheim Community Hospital, LLC Hospital, Anaheim, CA, CCN 050854
• Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Chest and Critical Care Consultants a Medical Group

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1598852717

  Family

  Medicare reassignment Care Compare group NPD
• East Valley Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1346287430
  Medicare reassignment NPD
• Temecula Valley Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Temecula, CA
  • NPI 1407281223
  Medicare reassignment NPD
• Chest and Critical Care Consultants

  • Sleep Disorder Diagnostic Clinic/Center
  • Tustin, CA
  • NPI 1659450054
  NPD

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

• Ahmc Anaheim Regional Medical

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1891938122
  Care Compare affiliation
• Anaheim Community Hospital, LLC

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1902479447
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1639785876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 E PRADO ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073938",
            "telephone_number": "909-762-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925896",
            "telephone_number": "951-331-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2020008511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020008511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLIE",
            "last_name": "SANTOS",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vanessa Sanlucar
• Stacie I. Santana
• Catherine Decarlo Santiago, PHD
• Allison Santibanez, M.A., O.T.R.
• Maria Elena Santos Nieves
• Maria Teresa Santos, LMFTT
• Sydnee Sao
• Rebecca Linda Sapien, M.D.
• Sara M. Deleon, PSYD Corp
• Sarah Zirakzadeh DDS Apdc

• Family Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.