Bianca Ivette Santiago, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051267 Issued in PA

Practice address

100 E Lehigh Ave
CHC-2-East
Philadelphia, PA 19125-1012

Phone

(215) 707-1118

Fax

(215) 707-1120

NPI assigned

Dec 1, 2005

Last updated

Oct 21, 2014By the provider in NPPES

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

Other identifiers 2

Other names 1

• Bianca Laureano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temple Physicians Inc

  • Advanced Practice Midwife
  • Philadelphia, PA
  • NPI 1235367459
  NPD (past)
• Temple Physicians Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Phila, PA
  • NPI 1801026125
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1952642936
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1952385197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "address_2": "CHC-2 EAST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-707-1118",
            "fax_number": "215-707-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "address_2": "CHC-2-EAST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-707-1118",
            "fax_number": "215-707-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "BIANCA",
        "middle_name": "IVETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "121986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "LAUREANO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cristina Santiago Loza, MD
• Kiara E. Santiago Olivero, MD
• Marcelle Santiago-Serrano
• Amber Santiago
• Ariamgelly Santiago
• Efrain Andres Santiago, PHARMACIST
• Genevieve Maria Santiago, MA
• Janella Santiago, CRNA
• Linda D Santiago, MA
• Megan E Santiago, PA-C

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.