Active NPI
Aurora Yanzon De Los Santos, NP-C
- Primary Care Nurse Practitioner
- Ontario, CA
National Provider Identifier
1891116398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 23335
- Practice address
- 3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201 - Phone
- (909) 566-0445
- NPI assigned
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 23335 | CA | Primary |
Addresses
Primary practice location
3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201
Mailing address
2821 Juniper Dr.
Corona, CA 92882
Phone (951) 415-6941
Other practice location 1
482 Corona Mall
Corona, CA 92879
Phone (951) 734-6110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23335 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23335 | CA | MD | Occupational Therapist |
Interoperability endpoints
- adelossantos@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1891116398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 JUNIPER DR.",
"city": "CORONA",
"state": "CA",
"postal_code": "92882",
"telephone_number": "951-415-6941",
"fax_number": "951-732-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CENTRE LAKE DR STE 512",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917611201",
"telephone_number": "909-566-0445"
}
],
"practiceLocations": [
{
"address_1": "482 Corona Mall",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "92879",
"country_code": "US",
"telephone_number": "951-734-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "AURORA",
"middle_name": "YANZON",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "23335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
"identifier": "23335",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.