JULIAN A SANTIAGO (NPI# 1356713028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356713028 |
| Entity Type | Individual |
| Full Name | JULIAN A SANTIAGO |
| Credential | PA-C |
| Practice Address |
199 W Portal Ave San Francisco CA 94127-1305 |
| Mailing Address |
3400 Data Dr Attn Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 4158218798 |
| Practice Fax Number | 4152426244 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA55517 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 019319 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
199 W PORTAL AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619290483 | Brandy M Blau | Nurse Practitioner | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2010-03-09 |
| 1871007120 | Christine M Trewhitt | Registered Nurse | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2017-11-23 |
| 1346764370 | Grace Cha | Nurse Practitioner | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2017-08-01 |
| 1306159918 | Matthew Joel Brooks | Nurse Practitioner | 199 W Portal Ave, San Francisco, CA 94127-1305 | 2010-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1427672559 | Grace Ellen Banks | Physician Assistant | 1199 Bush St Ste 620, San Francisco, CA 94109-5977 | 2020-06-04 |
| 1386270403 | Marcella Santos | Physician Assistant | 67 Skyview Way, San Francisco, CA 94131-1248 | 2020-03-20 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1841844040 | Isheen Dizon Dantes Herrera | Physician Assistant | 2238 Geary Blvd Fl 2se, San Francisco, CA 94115-3416 | 2019-07-26 |
| 1396306148 | Jillian Kelter | Physician Assistant | 956 Sacramento St, San Francisco, CA 94108-2054 | 2019-06-24 |
| 1689134801 | Nicola Jane Shea | Physician Assistant | 1500 Owens St Fl 2, San Francisco, CA 94158-2338 | 2019-03-22 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1427536754 | Krystal Shin | Physician Assistant | 2100 Webster St Ste 305, San Francisco, CA 94115-2376 | 2018-07-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
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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.