Individual provider Active NPI

Sal C Santangelo, M.D.

  • Surgery Physician
  • Oxnard, CA
National Provider Identifier
1972664183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G33564 Issued in CA
Practice address
1700 N Rose Ave
Ste 470
Oxnard, CA 93030-3790
Phone
(805) 983-0707
Fax
(805) 983-0334
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G33564 CA Primary

Addresses

Primary practice location

1700 N Rose Ave
Ste 470
Oxnard, CA 93030-3790

Mailing address

35 La Patera CT
Camarillo, CA 93010-8412
Phone (805) 482-6400

Other identifiers 1

IdentifierTypeStateIssuer
00G335640MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G33564CAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972664183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LA PATERA CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108412",
            "telephone_number": "805-482-6400",
            "fax_number": "805-482-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE",
            "address_2": "STE 470",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303790",
            "telephone_number": "805-983-0707",
            "fax_number": "805-983-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "SAL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G33564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G335640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.