Organization Active NPI

Kristin J. Santangelo, MD, a Professional Corporation

  • Urology Physician
  • Thousand Oaks, CA
National Provider Identifier
1922191733
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
KRISTIN J. SANTANGELO, MD, A PROFESSIONAL CORPORATION
Practice address
415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1033
Phone
(805) 371-3770
Fax
(805) 371-4714
NPI assigned
Oct 2, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Krisitn Jean Santangelo, M.D.
Title
Owner
Phone
(805) 371-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1033

Mailing address

415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1033
Phone (805) 371-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050909000556 CA Part B Supplier - Clinic/Group Practice 9234161233 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1048270Kristin J Santangelo, MD415 Rolling Oaks Drive #260, Thousand Oaks, CA 91361Provider-performed microscopyNov 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1922191733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 260",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611033",
            "telephone_number": "805-371-3770",
            "fax_number": "805-371-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 260",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611033",
            "telephone_number": "805-371-3770",
            "fax_number": "805-371-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN J. SANTANGELO, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "KRISITN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-371-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.