NPIMap

Organization Active NPI

Elizabeth G. Santos, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
National Provider Identifier
1669801726
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ELIZABETH G. SANTOS, INC
Practice address
6161 San Rafael Dr
Buena Park, CA 90620-2834
Phone
(714) 527-9145
Fax
(714) 736-0931
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Mrs. Elizabeth G Santos, BSE
Title
President
Phone
(714) 828-0465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

6161 San Rafael Dr
Buena Park, CA 90620-2834

Mailing address

6287 San Ricardo Way
Buena Park, CA 90620-2845
Phone (714) 527-9145

Other names 1

  • Elizabeth Homes San Rafael Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G348

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ELIZABETH HOMES - SAN RAFAEL
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 16, 2000
Last certification
Oct 16, 2025
Beds
6
Ownership / control type
Other (specify)
Most recent change of ownership
Aug 28, 2012
Facility address
6161 San Rafael Drive
Buena Park, CA 90620

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth G Santos Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1669801726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 SAN RICARDO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202845",
            "telephone_number": "714-527-9145",
            "fax_number": "714-736-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 SAN RAFAEL DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202834",
            "telephone_number": "714-527-9145",
            "fax_number": "714-736-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH G. SANTOS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-828-0465",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSE"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Homes San Rafael",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.