Lisa Renee Santana, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1211490815 Issued in CA

Practice address

3600 Power Inn Rd
Sacramento, CA 95826-3826

Phone

(916) 452-3064

NPI assigned

Jun 8, 2017

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)

Not enrolled

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.

• Bridges Professional Treatment Services

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
  • NPI 1639509870
  NPD (past)
• Bridges Professional Treatment Services Inc.

  • Substance Abuse Rehabilitation Facility
  • Sacramento, CA
  • NPI 1730327750
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720517196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 P ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166403",
            "telephone_number": "916-452-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 POWER INN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263826",
            "telephone_number": "916-452-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1211490815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAPP",
            "identifier": "R1211490815",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jhisell Santamaria
• Angela Catalina Santana
• Daniel Casey Santana
• Janei Marie Santana, RBT
• Jessica Marie Santana, MD, MS
• Natalie Jennifer Santana
• Stephanie Santana
• Akira Santerre
• Lata Santhakumar, M.D.
• Alexandra Santiago-Vazquez

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.