NPIMap

Organization Active NPI

Reynaldo B Santmaina MD

  • Internal Medicine Physician
  • Brawley, CA
National Provider Identifier
1649286485
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67778 Issued in CA
Legal business name
REYNALDO B SANTMAINA MD
Practice address
195 W Legion Rd
Brawley, CA 92227-7714
Phone
(760) 357-8669
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Reynaldo SantaminaNPI 1144221383
Title
Owner
Phone
(760) 351-8669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A67778 CA Primary

Addresses

Primary practice location

195 W Legion Rd
Brawley, CA 92227-7714

Mailing address

195 W Legion Rd
Brawley, CA 92227-7714
Phone (760) 357-8669

Other identifiers 1

IdentifierTypeStateIssuer
00A677780MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1649286485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277714",
            "telephone_number": "760-357-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277714",
            "telephone_number": "760-357-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO B SANTMAINA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SANTAMINA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-351-8669",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A677780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.