Jiovanni Carlos Santos

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

1315 25TH St
San Diego, CA 92102-2107

Phone

(719) 961-5233

NPI assigned

Jun 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1710547583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 FLORIDA ST UNIT C121",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921046226",
            "telephone_number": "619-453-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 25TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022107",
            "telephone_number": "719-961-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JIOVANNI",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Santos
• Earl Santos
• Enrico Resurreccion Santos, RDH
• Gayla Marie Santos, RN
• Jason Andrew Santos
• Joshua Scott Santos
• Marlyn Santos
• Michael Santos
• Nicole Marie Santos, RN
• Niyah Koa Santos

• Substance Abuse Rehabilitation Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.