DR. MIGUEL SANTIAGO RESTREPO (NPI# 1174582845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174582845 |
| Entity Type | Individual |
| Full Name | DR. MIGUEL SANTIAGO RESTREPO |
| Credential | M.D. |
| Practice Address |
9300 Valley Childrens Pl Cardiology Madera CA 93636-8761 |
| Practice Telephone | 5593536257 |
| Practice Fax Number | 5593535455 |
| Mailing Telephone | 5593536257 |
| Mailing Fax Number | 5593535455 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A87656 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A87656 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
39660 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1986236 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417419912 | Miguel Angel Restrepo Jr. | Behavioral Analyst | 800 S Claremont St Ste 108, San Mateo, CA 94402-1449 | 2019-04-03 |
| Street Address |
9300 VALLEY CHILDRENS PL CARDIOLOGY |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689779 | Valley Children's Medical Group - Dept of Cardiology | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-02-10 |
| 1760724975 | Lerraughn Marcellus Morgan | Pediatrics | 9300 Valley Childrens Pl # Fe10, Madera, CA 93636-8761 | 2013-03-26 |
| 1588850952 | Specialty Medical Group Central California Inc. - Dept. of Cardiology | Pediatrics | 9300 Valley Childrens Pl, Mailstop Fc14, Madera, CA 93636-8761 | 2007-09-19 |
| 1336259670 | Narakesari Prasanna Heragu | Pediatrics | 9300 Valley Childrens Pl, Cardiology, Madera, CA 93636-8761 | 2006-08-30 |
| 1114037447 | Paul David Francis | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-08-30 |
| 1578673752 | Kenneth L. Jue | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-08-30 |
| 1508976820 | John Robert Caton | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-08-30 |
| 1487764692 | Valeriano Cruz Simbre II | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-08-30 |
| 1427168624 | Carl Yasutoshi Owada | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-08-30 |
| 1083723852 | James Vincent Prochazka | Pediatrics | 9300 Valley Childrens Pl, Madera, CA 93638-8761 | 2006-08-29 |
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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.