Organization Active NPI

Jude J Santiago M D Inc

  • Ophthalmology Physician
  • Laguna Hills, CA
National Provider Identifier
1710174578
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A43467 Issued in CA
Legal business name
JUDE J SANTIAGO M D INC
Practice address
24953 Paseo de Valencia
Suite 6a
Laguna Hills, CA 92653-4342
Phone
(949) 472-4244
Fax
(949) 472-4258
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Dr. Jude John Santiago, M.D
Title
President
Phone
(949) 472-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A43467 CA Primary

Addresses

Primary practice location

24953 Paseo de Valencia
Suite 6a
Laguna Hills, CA 92653-4342

Mailing address

24953 Paseo de Valencia
Suite 6a
Laguna Hills, CA 92653-4342
Phone (949) 472-4244

National Provider Directory

National Provider Directory

Locations

600 E Hobsonway
Blythe, CA 92225
Phone (760) 922-0284

24953 Paseo de Valencia
Ste 6A
Laguna Hills, CA 92653
Phone (949) 472-4244

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1710174578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 6A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-472-4244",
            "fax_number": "949-472-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 6A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-472-4244",
            "fax_number": "949-472-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDE J SANTIAGO M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-472-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A43467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.