Individual provider Active NPI

Carlos Santivanez, M.D.

  • Internal Medicine Physician
  • Hanford, CA
National Provider Identifier
1992767586
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65721 Issued in CA
Practice address
855 Garner Ave
Hanford, CA 93230
Phone
(559) 582-9061
Fax
(559) 582-9063
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65721 CA Primary

Addresses

Primary practice location

855 Garner Ave
Hanford, CA 93230

Mailing address

855 Garner Ave
Hanford, CA 93230
Phone (559) 582-9061

Other practice location 1

329 W 8th St Ste 109
Hanford, CA 93230-4533
Phone (559) 582-2500

Other practice location 2

329 W 8th St Ste 111
Hanford, CA 93230-4533
Phone (559) 582-2500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001241 CA Practitioner - Internal Medicine 6608764287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

855 Garner Ave
Hanford, CA 93230-4314
Phone (559) 582-9061

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Santivanez M.D., Inc CurrentSince Oct 23, 2003 Accepting new patients
Hanford Community Hospital Past Accepting new patients
Reedley Community Hospital Past Accepting new patients
Tariq Javed, MD Inc. PastSince Oct 23, 2003 Accepting new patients
Aria Community Health Center Past Accepting new patients

Locations

855 Garner Ave
Hanford, CA 93230
Phone (559) 582-9061

Interoperability endpoints

  • Direct secure messaging: carlos.santivanez.p1@direct.ariachc.nextgenshare.com

Organizations & group practices 5

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 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1992767586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 GARNER AVE",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-582-9061",
            "fax_number": "559-582-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 GARNER AVE",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-582-9061",
            "fax_number": "559-582-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 W 8th St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304533",
            "country_code": "US",
            "telephone_number": "559-582-2500",
            "fax_number": "559-582-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 W 8th St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304533",
            "country_code": "US",
            "telephone_number": "559-582-2500",
            "fax_number": "559-582-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIVANEZ",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.