Active NPI
Jeffrey R Desantis, DPM
- Foot & Ankle Surgery Podiatrist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3758
- Practice address
- 1038 E Chapman Ave
Orange, CA 92866-2111 - Phone
- (714) 771-4191
- Fax
- (714) 771-2731
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3758 | CA | Primary |
Addresses
Primary practice location
1038 E Chapman Ave
Orange, CA 92866-2111
Mailing address
1038 E Chapman Ave
Orange, CA 92866-2111
Phone (714) 771-4191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E37580 | Medicaid | CA |
Other names 1
- Jeffrey R Desantis
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 San Joaquin Hills Rd
Newport Beach, CA 92660-6507
Phone (949) 326-7355
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 638 |
| Removal or shaving of skin growth | 434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3758 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare California, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Upperline Healthcare California PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Burbank Podiatry Asscociates Group a Professional Corporation | Foot & Ankle Surgery | Current | Accepting new patients |
| Cambridge Foot and Ankle Associates Inc. | Current | Accepting new patients | |
| Jeffrey R Desantis DPM PC | Past | Accepting new patients | |
| Children's Hospital of Orange County | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients |
Locations
241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561
2131 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 326-7355
1038 E Chapman Ave
Orange, CA 92866
Phone (714) 771-4191
604 S Harbor Blvd
Santa Ana, CA 92704
Phone (657) 467-3310
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
- jeffrey.desantis.1@4399.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1659470367
-
- Podiatrist
- Orange, CA
- NPI 1730180266
-
- Podiatric Clinic/Center
- Orange, CA
- NPI 1225663826
Foot & Ankle Surgery
-
- Durable Medical Equipment & Medical Supplies
- Orange, CA
- NPI 1669568580
-
- Foot & Ankle Surgery Podiatrist
- La Mesa, CA
- NPI 1093399412
Orthopaedic Surgery
-
dba Rady Children's Hospital Orange County
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659371748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662111",
"telephone_number": "714-771-4191",
"fax_number": "714-771-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662111",
"telephone_number": "714-771-4191",
"fax_number": "714-771-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "JEFFREY",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E37580",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "DESANTIS",
"middle_name": "R",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.