Organization Active NPI

Edward J. Santoro MD., Inc.

  • Clinic/Center
  • Fresno, CA
National Provider Identifier
1720162563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A21184 Issued in CA
Legal business name
EDWARD J. SANTORO MD., INC.
Practice address
703 N Fulton St
Suite 202
Fresno, CA 93728-3405
Phone
(559) 237-1580
Fax
(559) 233-3381
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward J Santoro, M.D.
Title
Medical Director
Phone
(559) 237-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A21184 CA Primary

Addresses

Primary practice location

703 N Fulton St
Suite 202
Fresno, CA 93728-3405

Mailing address

703 N Fulton St
Suite 202
Fresno, CA 93728-3405
Phone (559) 237-1580

Other identifiers 1

IdentifierTypeStateIssuer
00A211840MedicaidCA

National Provider Directory

National Provider Directory

Locations

703 N Fulton St
Ste 202
Fresno, CA 93728
Phone (559) 237-3500

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720162563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N FULTON ST",
            "address_2": "SUITE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283405",
            "telephone_number": "559-237-1580",
            "fax_number": "559-233-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FULTON ST",
            "address_2": "SUITE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283405",
            "telephone_number": "559-237-1580",
            "fax_number": "559-233-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. SANTORO MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-237-1580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A21184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A211840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.