Individual provider Active NPI

Justin Santos, MT-BC

  • Music Therapist
  • Irvine, CA
National Provider Identifier
1851023030
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
17206 Issued in CA
Practice address
16800 Aston
Irvine, CA 92606-4812
Phone
(949) 748-8571
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225A00000X 17206 CA Primary

Addresses

Primary practice location

16800 Aston
Irvine, CA 92606-4812

Mailing address

7821 Kelly Cir
La Palma, CA 90623-1646
Phone (562) 412-5760

Other practice location 1

7821 Kelly Cir
LA Palma, CA 90623-1646
Phone (562) 412-5760

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1851023030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 KELLY CIR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231646",
            "telephone_number": "562-412-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 ASTON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064812",
            "telephone_number": "949-748-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7821 Kelly Cir",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906231646",
            "country_code": "US",
            "telephone_number": "562-412-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JUSTIN",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": "CA",
            "license": "17206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

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