JEFFREY R DESANTIS (NPI# 1659371748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659371748 |
| Entity Type | Individual |
| Full Name | JEFFREY R DESANTIS |
| Other Name | JEFFREY R DESANTIS |
| Credential | DPM |
| Practice Address |
1038 E Chapman Ave Orange CA 92866-2111 |
| Practice Telephone | 7147714191 |
| Practice Fax Number | 7147712731 |
| Mailing Telephone | 7147714191 |
| Mailing Fax Number | 7147712731 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E3758 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E37580 | 05 |
| Street Address |
1038 E CHAPMAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157526 | Lyman Harold Wilson | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2005-07-12 |
| 1548872781 | Upperline Healthcare California PC | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2020-08-19 |
| 1225663826 | Upperline Healthcare California PC | Clinic/Center | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2020-03-04 |
| 1093262099 | Neil Patel | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2016-09-07 |
| 1932548393 | Ricardo Jose Negron | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2013-06-19 |
| 1164650206 | Tina Jussal | Podiatrist | 1038 E Chapman Ave, Orange, CA 92868 | 2009-06-28 |
| 1669568580 | Jeffrey R Desantis Dpm PC | Durable Medical Equipment & Medical Supplies | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2006-10-05 |
| 1124028691 | Howard Austin Hewlett | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588951271 | Jacob Jones | Podiatrist | 845 W La Veta Ave Ste 101, Orange, CA 92868-3930 | 2011-07-01 |
| 1790974970 | Larry R Anthon | Podiatrist | 3121 N Hartman St, Orange, CA 92865-1214 | 2007-10-23 |
| 1548872781 | Upperline Healthcare California PC | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2020-08-19 |
| 1093262099 | Neil Patel | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2016-09-07 |
| 1467831420 | Bonnie Lin Dpm A Professional Corporation | Podiatrist | 705 W La Veta Ave, Suite 100, Orange, CA 92868-4402 | 2015-05-23 |
| 1205264280 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 85 S Jefferson St, Orange, NJ 07050-1562 | 2013-10-29 |
| 1932548393 | Ricardo Jose Negron | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2013-06-19 |
| 1669790358 | Joyce Yan | Podiatrist | 2501 E Chapman Ave, Orange, CA 92869 | 2010-05-06 |
| 1902034887 | Bonnie Lin | Podiatrist | 705 W La Veta Ave, Ste 100, Orange, CA 92868-4447 | 2009-06-30 |
| 1164650206 | Tina Jussal | Podiatrist | 1038 E Chapman Ave, Orange, CA 92868 | 2009-06-28 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on JEFFREY R DESANTIS.
| 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.