Individual provider Active NPI

Jeffrey R Desantis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
National Provider Identifier
1659371748
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3758 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E37580MedicaidCA

Other names 1

  • Jeffrey R Desantis Professional name

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
I20050120000338 CA Practitioner - Podiatry 3577512391 Reassigns benefits to 3 organizations

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

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue638
Removal or shaving of skin growth434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3758CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare California, PC Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Upperline Healthcare California PC Foot & Ankle Surgery CurrentSince Nov 1, 2021 Accepting new patients
Burbank Podiatry Asscociates Group a Professional Corporation Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Cambridge Foot and Ankle Associates Inc. CurrentSince May 19, 1994 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

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.