Annie Marie M Santos (NPI# 1881607455, PAC ID# 5193781359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1881607455 |
PAC ID by PECOS | 5193781359 |
Professional Enrollment ID | I20041208001202 |
Full Name | Annie Marie M Santos |
Address |
832 S Fairmont Ave Lodi CA 95240-5117 |
Phone Number | 2093659331 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050336 | ADVENTIST HEALTH LODI MEMORIAL |
Address | Phone | Organization |
---|---|---|
832 S Fairmont Ave, Lodi, CA 95240-5117 | 2093659331 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
Street Address |
832 S FAIRMONT AVE |
City | LODI |
State | CA |
Zip | 95240-5117 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ramnik Singh Clair | Osteopathic Manipulative Medicine | 900 S Fairmont A A, Lodi, CA 95240 | |
Kharis E Powell | Psychologist, Clinical | 12 S Hutchins St, Lodi, CA 95240-1922 | |
Sarah A Bozeman | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
Zachary Joseph Mertz | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
Fatema M Ghani | Physical Therapy | Golden Bear Physical Therapy and Sports Injury Center, Inc | 210 W Pine St, Lodi, CA 95240-2020 |
Michael R Oconnell | Chiropractic | 404 W Pine St, Suite 14, Lodi, CA 95240-2048 | |
Toni F Reynolds | Chiropractic | 404 W Pine St, Suite 4, Lodi, CA 95240-2048 | |
Heather West Leam | Chiropractic | 812 W Lodi Ave, Lodi, CA 95240-3302 | |
Larry Od Simpfenderfer | Optometry | 1210 W Tokay St, Lodi, CA 95240-3810 | |
Frank T Huang Jr. | Endocrinology | Adventist Health Physicians Network | 515 S Fairmont Ave, Lodi, CA 95240-3834 |
Find all physicians in zip 95240 |
City | LODI |
Zip Code | 95240 |
Specialty | FAMILY MEDICINE |
City + Specialty | LODI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Annie Marie M Santos.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.