Individual provider Active NPI

Claudia Raquel Santis, NURSE PRACTITIONER

  • Nurse Practitioner
  • Huntington Park, CA
National Provider Identifier
1760197180
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95019470 Issued in CA
Practice address
3400 E Florence Ave Ste B
Huntington Park, CA 90255-5835
Phone
(323) 589-9384
Fax
(323) 589-0358
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95019470 CA Primary

Addresses

Primary practice location

3400 E Florence Ave Ste B
Huntington Park, CA 90255-5835

Mailing address

3400 E Florence Ave Ste B
Huntington Park, CA 90255-5835
Phone (323) 589-9384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95019470CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Downey Hospital PastSince Jan 22, 2023 Accepting new patients
Del Rosario Medical Clinic, Inc. PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1760197180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FLORENCE AVE STE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555835",
            "telephone_number": "323-589-9384",
            "fax_number": "323-589-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FLORENCE AVE STE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555835",
            "telephone_number": "323-589-9384",
            "fax_number": "323-589-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIS",
        "first_name": "CLAUDIA",
        "middle_name": "RAQUEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.