Santi Pattara, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A35983 Issued in CA

Practice address

2101 E 4TH St # 185B
Santa Ana, CA 92705-3814

Phone

(714) 835-3314

Fax

(714) 835-3315

NPI assigned

Sep 28, 2006

Last updated

Jun 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1982796165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E 4TH ST # 185B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053814",
            "telephone_number": "714-835-3314",
            "fax_number": "714-835-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E 4TH ST # 185B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053814",
            "telephone_number": "714-835-3314",
            "fax_number": "714-835-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTARA",
        "first_name": "SANTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A35983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A359830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nieto Patino
• Kimberly Patino
• Patricia Ayala-Guzman
• Karen Marie Patrick
• Andrea Patrie
• Jennifer Jeannette Patterson
• Kimberly Jeanne Patterson, MS, CCC-SLP
• Leanne M. Patterson
• Leslie Patterson, SLP
• Robert Goode Patterson, PSYD DOCTOR OF PSYCH

• Psychiatry Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.