Nathan Allen Santibanez, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021131 Issued in CA

Practice address

27281 Las Ramblas Ste 255
Mission Viejo, CA 92691-6324

Phone

(714) 421-2757

NPI assigned

Aug 9, 2022

Sex

Male

Sole proprietor

Yes

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1942938980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926930738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27281 LAS RAMBLAS STE 255",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916324",
            "telephone_number": "714-421-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIBANEZ",
        "first_name": "NATHAN",
        "middle_name": "ALLEN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen Jeffrey Sanders, AU.D.
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• Minerva Banzali Sansano, RN
• Michael Steven Santillan, PA-C, CAQ-PSYCH
• Michael J Santoro, M.D.
• Sanghee Ko Santoro
• John William Santos, P.T.
• Janelle Santucci, LMFT

• Psychiatric/Mental Health Nurse Practitioner in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.