Merlita Marquez Santos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

643342 Issued in CA

Practice address

925 Maria Dr
Petaluma, CA 94954-6839

Phone

(650) 430-8379

NPI assigned

Oct 29, 2021

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

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1912661497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MARIA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546839",
            "telephone_number": "650-430-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MARIA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546839",
            "telephone_number": "650-430-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MERLITA",
        "middle_name": "MARQUEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "643342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Rosa Orthopaedic Medical Group, Inc.
• Santa Rosa Orthopaedic Medical Group, Inc.
• Wendy Paola Santacruz Sosa
• Amanda D Santana
• Noel E Santo Domingo, M.D.
• Angela Marie Grech Sanville, MA, AMFT
• Sapoora Manshaii MD Inc
• Sarah Sargent-Balfour, MS
• Paige Christine Sarlandt
• Tonia Sassi, LMFT

• Registered Nurse in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.