PACIFICO C. SANTOS M.D. NPI 1265547608

NPI Information

NPI: 1265547608
Provider Name: PACIFICO C. SANTOS, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Organization: CENTER FOR CARDIOVASCULAR CARE A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
200 N JACKSON AVE
SUITE D
SAN JOSE, CA
ZIP 95116
Phone: (408) 251-4240
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Pacifico C. Santos, M.D. is an adult medicine family medicine in San Jose, CA with 62 years of experience. The provider is definition to come. Pacifico C. Santos, M.D. NPI is 1265547608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 N JACKSON AVE
SUITE D
SAN JOSE, CA
ZIP 95116-601
Phone: (408) 251-4240
Fax: (408) 251-7859

The NPI 1265547608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 10/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		A29516	CALIFORNIA	No
2	207QA0505X	Family Medicine	Adult Medicine	A29516	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A25795	MEDICARE UPIN	CALIFORNIA
2	A295163	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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