Samantha Santos-Cucalon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19945 Issued in CA

Practice address

1001 Potrero Ave
San Francisco, CA 94110-3518

Phone

(628) 206-4945

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1952976573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 4TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-CUCALON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santos Dental Corporation
• Ignacio Archie Kondo Santos Diaz VI
• Rene Antonio Santos Lopez Jr.
• Karina Santos Silva
• Cecilia Santos-Berkowitz, D.M.D.
• Jessica Renee Santos-Parker, MD, PHD
• Keli Siqueiros Santos-Parker, MD, PHD
• Amalen Santos
• Christian Frontera Santos
• Danton Santos

• Occupational Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.