SANTIBANEZ PAC UTAH NPI 1881469484

NPI Information

  • NPI: 1881469484
  • Provider Name: SANTIBANEZ PAC UTAH
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 451 E BISHOP FEDERAL LN
    SALT LAKE CITY, UT
    ZIP 84115
  • Phone: (801) 487-7557

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NPI Details

SANTIBANEZ PAC UTAH is a geriatric medicine internal medicine in Salt Lake City, UT. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SANTIBANEZ PAC UTAH NPI is 1881469484. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT
ZIP 84115-357
Phone: (801) 487-7557

The provider's authorized official is Julie Roser .
The authorized official title is Vp Of Operations and has the following contact phone number (775) 222-0045.

The enumeration date for this NPI number is 11/24/2023 and was last updated on 11/24/2023.

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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207RG0300XInternal MedicineGeriatric MedicineYes

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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