Agnes C Santosa, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A71735 Issued in CA

Practice address

11241 Spencerport Way
San Diego, CA 92131-2912

Phone

(858) 549-9652

Fax

(858) 549-4941

NPI assigned

Jul 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927
  NPD (past)
• Desert Open MRI LLC

  • Radiology Clinic/Center
  • Mesa, AZ
  • NPI 1568474401
  NPD (past)
• East Valley Diagnostic Imaging LLC

  • Mammography Clinic/Center
  • Mesa, AZ
  • NPI 1164434098
  NPD (past)
• Franklin & Seidelmann Medical Corp

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1598791873
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689690927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 SPENCERPORT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312912",
            "telephone_number": "858-549-9652",
            "fax_number": "858-549-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 SPENCERPORT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312912",
            "telephone_number": "858-549-9652",
            "fax_number": "858-549-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSA",
        "first_name": "AGNES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A71735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A717350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shianne Vargas Santos
• Suely Suzana Santos
• Susanna Santos
• Thuy Vo Santos, MFT
• Tracy Fullenwider Santos, DO
• Jessica Christabella Santoso, PHARMD
• Joaquin Santoy, MD
• Marissa A Santoyo Rodriguez
• Monserrat Consejo Santoyo
• Steven Paul Santoyo, M.D.

• Diagnostic Radiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.