MARK A. DE LOS SANTOS FNP-C NPI 1063901742

NPI Information

  • NPI: 1063901742
  • Provider Name: MARK A. DE LOS SANTOS, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1207 E HERNDON AVE
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 432-4303

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NPI Details

Mark A. De Los Santos, FNP-C is a family nurse practitioner in Fresno, CA. Mark A. De Los Santos, FNP-C NPI is 1063901742. 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:

1207 E HERNDON AVE
FRESNO, CA
ZIP 93720-235
Phone: (559) 432-4303
Fax: (559) 432-4574

The NPI 1063901742 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 5/8/2018 and was last updated on 5/8/2018.

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
1363LF0000XNurse PractitionerFamily95007685CALIFORNIAYes

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: 3/30/2025

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