Pacifico C. Santos, MD Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A29516 Issued in CA

Legal business name

PACIFICO C. SANTOS, MD INC

Practice address

200 N Jackson Ave
Suite D
San Jose, CA 95116-1601

Phone

(408) 251-4240

Fax

(408) 251-7859

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pacifico Campana Santos, MDNPI 1265547608

Title

Owner

Phone

(408) 251-4240

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pacifico C. Santos, M.D.

  • Adult Medicine Physician
  • San Jose, CA
  • NPI 1265547608
  NPD (past) Authorized official
• Joel Santos, D.D.S.

  • Dentist
  • San Jose, CA
  • NPI 1952484925
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861515199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JACKSON AVE",
            "address_2": "SUITE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161601",
            "telephone_number": "408-251-4240",
            "fax_number": "408-251-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JACKSON AVE",
            "address_2": "SUITE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161601",
            "telephone_number": "408-251-4240",
            "fax_number": "408-251-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICO C. SANTOS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "PACIFICO",
        "authorized_official_middle_name": "CAMPANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-251-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A29516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Rim Physical Therapy P.C.
• Pacific Rim Rehabilitation Center
• Pacific Therapy and Rehab, Inc
• Pacifica Clinics
• Pacifico C Santos Medical Corp
• Faith Pacifico, MS CCC-SLP
• Ana Wong Pacis, FNP
• Francine Pack, RD CDCES
• Sarah Pack, MFT
• Joan Packer, L.C.S.W.

• Adult Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.