Individual provider Active NPI

Jocelyn Santos

  • Internal Medicine Physician
  • Lake Havasu City, AZ
National Provider Identifier
1831159730
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27105 Issued in AZ
Practice address
101 Civic Center LN
Apogee Physicians Office
Lake Havasu City, AZ 86403-5607
Phone
(928) 302-5402
Fax
(928) 302-5906
NPI assigned
Mar 24, 2006
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27105 AZ Primary

Addresses

Primary practice location

101 Civic Center LN
Apogee Physicians Office
Lake Havasu City, AZ 86403-5607

Mailing address

2525 E Camelback Rd
Suiten1100
Phoenix, AZ 85016-4219
Phone (602) 618-9112

Other identifiers 3

IdentifierTypeStateIssuer
AZ0780580OtherAZBCBS
P00263103OtherAZRR MEDICARE
45085903MedicaidAZ

Other names 1

  • Dr. Jocelyn Cruz Santos Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000643 AZ Practitioner - Internal Medicine 3779501093 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27105AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Aug 15, 2018 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince May 1, 2021 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1831159730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E CAMELBACK RD",
            "address_2": "SUITEN1100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164219",
            "telephone_number": "602-618-9112",
            "fax_number": "602-778-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "address_2": "APOGEE PHYSICIANS OFFICE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-302-5402",
            "fax_number": "928-302-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0780580",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00263103",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45085903",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "SANTOS",
            "middle_name": "CRUZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.