Individual provider Active NPI

Charity Osais Santiago, M.D.

  • Pediatrics Physician
  • Bakersfield, CA
National Provider Identifier
1942399647
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A83720 Issued in CA
Practice address
625 34TH St Ste 100&20
Bakersfield, CA 93301-2305
Phone
(833) 678-2781
Fax
(661) 368-0618
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A83720 CA Primary

Addresses

Primary practice location

625 34TH St Ste 100&20
Bakersfield, CA 93301-2305

Mailing address

625 34TH St Ste 100&20
Bakersfield, CA 93301-2305
Phone (833) 678-2781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623000501 CA Practitioner - Pediatric Medicine 0244698223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83720CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Aug 7, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Aug 7, 2023 Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 10020
Bakersfield, CA 93301

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284

625 34th St
Ste 100
Bakersfield, CA 93301

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1942399647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100&20",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012305",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100&20",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012305",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "CHARITY",
        "middle_name": "OSAIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A83720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.