Jeffrey R Desantis DPM PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JEFFREY R DESANTIS DPM PC

Practice address

1038 E Chapman Ave
Orange, CA 92866-2111

Phone

(714) 771-4191

Fax

(714) 771-2731

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey R Desantis, DPMNPI 1659371748

Title

Owner

Phone

(714) 771-4191

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jeffrey R Desantis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
  • NPI 1659371748
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669568580",
    "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": {
        "organization_name": "JEFFREY R DESANTIS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-771-4191",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0791680001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ezekiel Micah Jefferson
• Jeffrey L Wu
• Jeffrey M. Dembner, MD, Inc.
• Jeffrey M. Johnsrud, a Medical Corporation
• Jeffrey M. Shapiro, MD, Inc
• James C Jeng, MD
• Gary T Jenkins, MD
• Jeffrey A Jenkins, RPH
• Virginia Marie Jenkins
• Jennifer L Wong M D Inc

• Durable Medical Equipment & Medical Supplies in Orange, CA
• Providers in Orange, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.