AMY MARIE SANTOS (NPI# 1063668630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063668630 |
| Entity Type | Individual |
| Full Name | AMY MARIE SANTOS |
| Credential | CCRN, MSN, ACNP |
| Practice Address |
4077 Fifth Ave Trauma Services, Mer62 San Diego CA 92103 |
| Mailing Address |
7043 Camino Degrazia #200 San Diego CA 92111-7812 |
| Practice Telephone | 6192607285 |
| Practice Fax Number | 6192983704 |
| Mailing Telephone | 2406263702 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2014-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
17951 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013283944 | Amy A. Santos | Occupational Therapy Assistant | 11 Pine Grove Dr, Pittsfield, MA 01201-4429 | 2012-03-26 |
| 1164838678 | Amy Santos | Registered Nurse | 21 Grand St, Newburgh, NY 12550-5628 | 2014-07-03 |
| Street Address |
4077 FIFTH AVE TRAUMA SERVICES, MER62 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306808464 | Eric Dahms | Internal Medicine | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2006-04-04 |
| 1528672532 | Orlando Manzano | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-09-07 |
| 1518570167 | Lindsay Gumm | Social Worker | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-08-24 |
| 1821608811 | Tammy V Pham, M.d., Apc | Obstetrics & Gynecology | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-08-04 |
| 1891310538 | Jordan Ray Noble | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-06-09 |
| 1861014714 | Merril Lindner | Dietetic Technician, Registered | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-14 |
| 1215559042 | Kevin Kavanagh | Pharmacist | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-14 |
| 1942821525 | Page Staley Hope Moore | Occupational Therapist | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-05 |
| 1316568033 | Brent Conrad Beckner | Pharmacist | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-05-04 |
| 1306474101 | Kate Hebert Pool | Student in an Organized Health Care Education/Training Program | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1730357229 | Michael Andrew Palacio | Nurse Practitioner | 7625 Mesa College Dr Ste 315a, San Diego, CA 92111-5343 | 2008-02-19 |
| 1447462130 | Barbara Rose Lome | Nurse Practitioner | Scripps Mercy Hospital- Trauma Dept, 4077 Fifth Avenue, San Diego, CA 92104 | 2007-05-04 |
| 1144267642 | Darlene Mcmiddleton | Nurse Practitioner | 1963 4th Ave, San Diego, CA 92101-2394 | 2006-06-01 |
| 1730176785 | Kristine Lynn Ortiz | Nurse Practitioner | 7901 Frost St, Sharp Memorial Hospital Cardiac Transplant Department, San Diego, CA 92123-2701 | 2005-10-04 |
| 1891310538 | Jordan Ray Noble | Nurse Practitioner | 4077 Fifth Ave, San Diego, CA 92103-2105 | 2020-06-09 |
| 1811543622 | Alexandria Diane Chavez | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103 | 2019-08-16 |
| 1396255121 | Yendry Charlotte Acosta | Nurse Practitioner | 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 | 2017-10-06 |
| 1104346022 | Nicole Marie Murphy | Nurse Practitioner | 7801 Mission Center Ct, Suite 250, San Diego, CA 92108 | 2017-06-21 |
| 1972934958 | Emilee Patel | Nurse Practitioner | 4077 5th Ave, Mer62, San Diego, CA 92103-2105 | 2013-12-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.