Carlos Raul Santell

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY33315 Issued in CA

Practice address

3600 Wilshire Blvd Ste 2200
Los Angeles, CA 90010-2632

Phone

(231) 382-4400

Fax

(213) 382-4494

NPI assigned

Aug 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Heritage Clinic and the Community Assistance Program for SeniorsGroup PAC ID 9032005798, 17 clinicians

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heritage Clinic and the Community Assistance Program for Seniors

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1306899091
  Medicare reassignment Care Compare group NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment Care Compare group NPD
• Heritage Senior Services

  • Counselor
  • Pasadena, CA
  • NPI 1932477932
  Medicare reassignment
• Heritage Clinic and the Community Assistance Program for Seniors

  • Clinical Psychologist
  • Lancaster, CA
  • NPI 1023234747
  NPD
• Heritage Clinic and the Community Assistance Program for Seniors

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1093049546
  NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1871073239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 WILSHIRE BLVD STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102632",
            "telephone_number": "213-382-4400",
            "fax_number": "213-382-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WILSHIRE BLVD STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102632",
            "telephone_number": "231-382-4400",
            "fax_number": "213-382-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELL",
        "first_name": "CARLOS",
        "middle_name": "RAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Santangelo, MD
• Ana Santaolalla, LMFT
• Sante Health Partners LLC
• Sante Surgery Center Los Angeles
• Thomasene Laverne Santee
• Jason Santelli
• Julie Lynn Santelli, MD
• Adam Santhon
• Tino Santhon
• Sessy Santi, REGISTER COUNSELOR

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.