MR. JASON VERNON SANTIBANEZ (NPI# 1386111383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386111383 |
| Entity Type | Individual |
| Full Name | MR. JASON VERNON SANTIBANEZ |
| Credential | CADC-II, ICADC, SAP |
| Practice Address |
608 Kentucky St Gridley CA 95948-2118 |
| Mailing Address |
1547 2nd Ave Apt 1 Oroville CA 95965-4776 |
| Practice Telephone | 5302282816 |
| Practice Fax Number | 5303455514 |
| Mailing Telephone | 5302285816 |
| Mailing Fax Number | 5303455514 |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2018-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A043471216 | CA | Behavioral Health & Social Service Providers |
| Street Address |
608 KENTUCKY ST |
| City | GRIDLEY |
| State | CA |
| Zip Code | 95948-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373670 | Luis Orozco | Behavior Technician | 1630 Bowwood St., Gridley, CA 95948 | 2020-10-13 |
| 1134594526 | Rajwant K Gill I | Licensed Practical Nurse | 995 Spruce Ave, Gridley, CA 95948 | 2015-12-10 |
| 1316386618 | Dean V Richins Chiropractic PC | Chiropractor | 639 Vermont Street, Gridley, CA 95948 | 2013-06-19 |
| 1932547650 | Rabo Health and Wellness | Chiropractor | 490 Sycamore Street, Gridley, CA 95948 | 2013-06-05 |
| 1396959458 | Excel-a-care Emergency Physicians, A Medical Corporation | Emergency Medicine | 247 Spruce Street, Gridley, CA 95948 | 2007-05-09 |
| 1831221191 | James Campbell Alexander | Dentist | 505 Spruce Street, Gridley, CA 95948 | 2007-03-12 |
| 1902830359 | Gordon S Lum | Emergency Medicine | 240 Spruce Street, Gridley, CA 95948 | 2006-07-10 |
| 1780627760 | Jackson D Corley | Chiropractor | 490 Sycamore St, Gridley, CA 95948 | 2006-06-14 |
| 1598738999 | Barry L Fallesen | Optometrist | 235 Spruce St, Gridley, CA 95948 | 2006-02-08 |
| 1184020265 | Theron Hurlbert | Counselor | 200 Spruce Street, Gridley, CA 95948 | 2014-11-17 |
| Find all providers in zip 95948 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922388859 | Shannon Duran | Counselor | 995 Spruce St, Gridley, CA 95948-2128 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
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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.