Kevin Garzon Santillan, BSN, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

95296428 Issued in CA

Practice address

301 Victoria St
Costa Mesa, CA 92627-1995

Phone

(949) 642-2734

NPI assigned

Sep 12, 2022

Last updated

Oct 9, 2022By the provider in NPPES

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1720709389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 KIMBARK AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906011716",
            "telephone_number": "760-541-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271995",
            "telephone_number": "949-642-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZON SANTILLAN",
        "first_name": "KEVIN",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-10-09",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95296428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Trilce Garner
• Benjamin Garnica
• Andrew Garrett, PSY.D,
• Tessa Garrett
• Rati Garyali
• Salvatore Peter Gasparre Jr., DC
• Jay Gattis, PSY.D.
• Danielle Bernice Gauss, IBCLC
• Beatrize Gaytan
• Elizabeth Beltran Gaytan

• Adult Psychiatric/Mental Health Registered Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.