Individual provider Active NPI

John R. Santor, P.A.-C.

  • Diagnostic Radiology Physician
  • Mesa, AZ
National Provider Identifier
1750370839
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2938 Issued in AZ
Practice address
6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Phone
(480) 456-9000
NPI assigned
Oct 20, 2005
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2938 AZ
Diagnostic Radiology Physician 2085R0202X 2938 AZ Primary

Addresses

Primary practice location

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750

Mailing address

1201 S Alma School Rd
Suite 14000
Mesa, AZ 85210-2008
Phone (480) 545-8119

Other practice location 1

1201 S Alma School Rd
Suite 14000
Mesa, AZ 85210-2008
Phone (480) 545-8119

Other identifiers 1

IdentifierTypeStateIssuer
929713MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000310 AZ Practitioner - Physician Assistant 0840181244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

1114 W Thunderhill Dr
Phoenix, AZ 85045-0300
Phone (832) 915-2534

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (832) 915-2534

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (832) 915-2534

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (832) 915-2534

1840 E Warner Rd
Suite 114
Tempe, AZ 85284-3445
Phone (832) 915-2534

2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone (832) 915-2534

37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone (832) 915-2534

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2938AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Diagnostic Imaging LLC Past Accepting new patients
Banner Imaging Services LLC Past Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Past Accepting new patients
Associated Radiologists LTD PastSince Jan 1, 1991 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1750370839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD",
            "address_2": "SUITE 14000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102008",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 E BROADWAY RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061750",
            "telephone_number": "480-456-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Alma School Rd",
            "address_2": "Suite 14000",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852102008",
            "country_code": "US",
            "telephone_number": "480-545-8119",
            "fax_number": "480-892-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOR",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2938",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "2938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "929713",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.