Individual provider Active NPI

Jose Santiago Santa-Cruz Sanchez, M.D.

  • Family Medicine Physician
  • Grandview, WA
National Provider Identifier
1972986818
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60801179 Issued in WA
Practice address
1003 Wallace Way
Grandview, WA 98930-8805
Phone
(509) 203-1080
Fax
(509) 203-1077
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60801179 WA Primary

Addresses

Primary practice location

1003 Wallace Way
Grandview, WA 98930-8805

Mailing address

723 Memorial St
Prosser, WA 99350-1524
Phone (509) 786-2222

Other practice location 1

Prosser Clinic-Prosser Memorial Health
336 Chardonnay Ave., Suite A
Prosser, WA 99350
Phone (509) 786-1576

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsantacruzsanchez1110260@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001610 WA Practitioner - Family Practice 7810296530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prosser Public Hospital District of Benton CountyGroup PAC ID 6709787872, 111 clinicians

Practice addresses (Care Compare)

1003 Wallace Way
Grandview, WA 98930-8805
Phone (509) 203-1080

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

336 Chardonnay Ave
Prosser, WA 99350-9515

701 Dale Ave
Benton City, WA 99320-5250
Phone (509) 588-4075

723 Memorial St
Prosser, WA 99350-1524
Phone 50978655995599

723 Memorial St
Prosser, WA 99350-1593

820 Memorial St
Suite 3
Prosser, WA 99350-2504
Phone 50978655995599

Hospital & facility affiliations

  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Aug 1, 2018 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 1, 2018 Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

1003 Wallace Way
Grandview, WA 98930
Phone (509) 203-1080

336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1972986818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 MEMORIAL ST",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501524",
            "telephone_number": "509-786-2222",
            "fax_number": "509-786-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WALLACE WAY",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989308805",
            "telephone_number": "509-203-1080",
            "fax_number": "509-203-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Prosser Clinic-Prosser Memorial Health",
            "address_2": "336 Chardonnay Ave., Suite A",
            "address_purpose": "LOCATION",
            "city": "Prosser",
            "state": "WA",
            "postal_code": "99350",
            "country_code": "US",
            "telephone_number": "509-786-1576",
            "fax_number": "509-786-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA-CRUZ SANCHEZ",
        "first_name": "JOSE SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60801179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsantacruzsanchez1110260@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1003 Wallace Way",
            "city": "Grandview",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989308805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grandview, WA

Sources for this page

Verify at the official NPI Registry.