Rachel Rae Santiago, LICENSED NURSE

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

194204 Issued in CA

Practice address

4105 Keepsake CT
Tracy, CA 95377-8735

Phone

(209) 207-4030

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rachel.santiago@pharmerica.com

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1689264905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 KEEPSAKE CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778735",
            "telephone_number": "209-207-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 KEEPSAKE CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778735",
            "telephone_number": "209-207-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "RACHEL",
        "middle_name": "RAE",
        "credential": "LICENSED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "194204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachel.Santiago@pharmerica.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmerica Email Address",
            "address_1": "4105 Keepsake Ct",
            "city": "Tracy",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953778735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Graciela Sandoval Becerra
• Annette Bobbie Sandoval Brooks, FNP-C
• Karina Sandoval
• Samantha Sandoval
• Andeep Sangha
• Chauntel Joy Santillan
• Santokh Bhullar MD Inc
• Sierra Santos
• Sarah Mortensen Marriage and Family Counseling
• Kristina Sardi

• Licensed Vocational Nurse in Tracy, CA
• Providers in Tracy, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.