Individual provider Active NPI

Victor H Fernandez Santiesteban

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1891552873
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8022 N 27TH Ave
Phoenix, AZ 85051-6302
Phone
(602) 513-3616
NPI assigned
Mar 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

8022 N 27TH Ave
Phoenix, AZ 85051-6302

Mailing address

8022 N 27TH Ave
Phoenix, AZ 85051-6302
Phone (602) 513-3616

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guggiari Med PC CurrentSince Mar 12, 2024 Accepting new patients
Clinica Medica del Sol, LLC CurrentSince Mar 12, 2024 Accepting new patients
Happy Kids Pediatrics P.C. Medical Past Accepting new patients
Feliz Family Care, PLLC Physician Assistant Past Accepting new patients
Happy Kids Pediatrics P.C. Medical Past Accepting new patients

Locations

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1891552873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516302",
            "telephone_number": "602-513-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516302",
            "telephone_number": "602-513-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ SANTIESTEBAN",
        "first_name": "VICTOR",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.