Susan Santos, ELECTROLOGIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9797 Issued in CA

Practice address

5272 Robert J Mathews Pkwy # 110
El Dorado Hills, CA 95762-5705

Phone

(279) 356-6957

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Head to Toe Permanent Hair Removal

  • Specialist
  • El Dorado Hills, CA
  • NPI 1710835772
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1891473039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 BRANDYWOOD WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629596",
            "telephone_number": "425-736-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5272 ROBERT J MATHEWS PKWY # 110",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625705",
            "telephone_number": "279-356-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "SUSAN",
        "credential": "ELECTROLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Sandusky, MD
• Eileen Mary Sanfelice
• Navneet Sanghera, FNP
• Anisabel Santana
• Jessica Odom Santos, FNP
• Sara Bowerman, PH.D., a Professional Corporation
• Joseph Sarantis
• Susana Sarmago
• Jessica Sawyer, PA-C
• Sosan Spena Sayah

• Specialist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.