JAYSON GERONIMO SANTIAGO NPI 1982248761

NPI Information

  • NPI: 1982248761
  • Provider Name: JAYSON GERONIMO SANTIAGO
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 MARK WEST SPRINGS RD
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 334-9839

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NPI Details

Jayson Geronimo Santiago is an acute care nurse practitioner in Santa Rosa, CA with 6 years of experience. Jayson Geronimo Santiago NPI is 1982248761. 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:

30 MARK WEST SPRINGS RD
SANTA ROSA, CA
ZIP 95403-436
Phone: (707) 334-9839

The NPI 1982248761 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 11/4/2019 and was last updated on 11/4/2019.

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
1363LA2100XNurse PractitionerAcute Care95012332CALIFORNIAYes

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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