Individual provider Active NPI

Iris Silvia Ceballos Santillan

  • Case Manager/Care Coordinator
  • Porterville, CA
National Provider Identifier
1801577663
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
140 S C St
Porterville, CA 93257-4822
Phone
(559) 216-1997
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

140 S C St
Porterville, CA 93257-4822

Mailing address

24626 Avenue 196
Strathmore, CA 93267-9457
Phone (559) 804-5493

Other names 1

  • Iris Silvia Santillan-Arzola Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1801577663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24626 AVENUE 196",
            "city": "STRATHMORE",
            "state": "CA",
            "postal_code": "932679457",
            "telephone_number": "559-804-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S C ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932574822",
            "telephone_number": "559-216-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS SANTILLAN",
        "first_name": "IRIS",
        "middle_name": "SILVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "SANTILLAN-ARZOLA",
            "middle_name": "SILVIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.