Individual provider Active NPI

Perla Zuliana Santiago, FNP

  • Family Nurse Practitioner
  • Davis, CA
National Provider Identifier
1952926438
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014594 Issued in CA
Practice address
2051 John Jones Rd
Davis, CA 95616-9701
Phone
(530) 758-2060
Fax
(530) 758-8490
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014594 CA Primary

Addresses

Primary practice location

2051 John Jones Rd
Davis, CA 95616-9701

Mailing address

2051 John Jones Rd
Davis, CA 95616-9701
Phone (530) 758-2060

Other names 1

  • Perla Zuliana Aguayo Vazquez Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210603001363 CA Practitioner - Nurse Practitioner 6406255975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014594CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Apr 19, 2021 Accepting new patients
Ole Health CurrentSince Apr 19, 2021 Accepting new patients
Ole Health Past Accepting new patients

Locations

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

500 Jefferson Blvd
Ste 180
West Sacramento, CA 95605
Phone (916) 403-2900

500 Jefferson Blvd
Ste B180
West Sacramento, CA 95605
Phone (916) 375-6400

215 W Beamer St
Woodland, CA 95695
Phone (530) 405-2800

Interoperability endpoints

  • Direct secure messaging: psantiago676060@direct.ochin.org

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1952926438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 JOHN JONES RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169701",
            "telephone_number": "530-758-2060",
            "fax_number": "530-758-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 JOHN JONES RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169701",
            "telephone_number": "530-758-2060",
            "fax_number": "530-758-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "PERLA",
        "middle_name": "ZULIANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERLA",
            "last_name": "AGUAYO VAZQUEZ",
            "middle_name": "ZULIANA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.