DR. JARRETT EMERSON SANTORELLI (NPI# 1033529201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033529201 |
| Entity Type | Individual |
| Full Name | DR. JARRETT EMERSON SANTORELLI |
| Credential | M.D. |
| Practice Address |
200 W Arbor Dr San Diego CA 92103-9000 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 8009268273 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A161482 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 W ARBOR DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
| 1841806536 | Kevin Thai Nguyen | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-18 |
| 1003421256 | Jessica Lynette Montoya | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-14 |
| 1013522838 | Julianna L Gorder | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-09 |
| 1992318828 | Yodit Mekonnen Teklu | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
| 1356954283 | Dalia Siada | Dietitian, Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
| 1699383588 | Rachael Ashley Gordon | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-17 |
| 1124646906 | Jeffrey David Bernstein | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, Mc 1234, San Diego, CA 92103-9000 | 2020-07-08 |
| 1639796071 | Darcie D Brown | Marriage & Family Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-01 |
| 1194340919 | Han B Dinh | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548550510 | Sara Beth Edwards | Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-04-12 |
| 1578852471 | Sara Marie Higginson | Surgery | 200 W Arbor Dr, San Diego, CA 92103 | 2011-03-31 |
| 1396044657 | Jessica Weaver | Surgery | 200 W Arbor Dr, San Diego, CA 92103 | 2011-03-24 |
| 1366761595 | Michelle Grace Hamel | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123 | 2010-05-27 |
| 1366611972 | Amy E Liepert | Surgery | 200 W Arbor Dr, San Diego, CA 92103 | 2008-02-27 |
| 1861418618 | Jose Alfredo Acosta | Surgery | 34800 Bob Wilson Dr, Naval Medical Center San Diego Department of Surgery, San Diego, CA 92134-1098 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665843 | Layton Surgery | Surgery | 9025 Wilshire Blvd Ste 401, Beverly Hills, CA 90211-1828 | 2018-10-17 |
| 1003319609 | Amber Jones Do Mph | Surgery | 121 Jose Ln, Martinez, CA 94553-9795 | 2018-03-10 |
| 1326589870 | Aussama Khalaf Nassar | Surgery | 300 Pasteur Dr # 67, Stanford, CA 94305-2200 | 2017-03-16 |
| 1124301189 | Rafael Torres-fajardo | Surgery | 2315 Stockton Blvd Rm Op512, Sacramento, CA 95817-2201 | 2011-09-26 |
| 1104125343 | Eleanor Curtis | Surgery | 2335 Stockton Blvd, Sacramento, CA 95817-9581 | 2011-03-25 |
| 1942444005 | Justin Abraham Mandell | Surgery | 2315 Stockton Blvd # Surgery, Sacramento, CA 95817-2201 | 2009-04-20 |
| 1649435322 | Ruby A. Skinner, Md Apc | Surgery | 1100 S Hope St Apt 1116, Los Angeles, CA 90015-2190 | 2008-07-22 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1851596118 | Angela Lynn Neville | Surgery | Harbor Ucla Medical Center, Dept of Surgery. Box #25, 1000 W. Carson Street, Torrance, CA 90502 | 2007-06-18 |
| 1750315214 | Sean Cao, M.d., Inc. | Surgery | 9940 Talbert Ave # 202, Fountain Valley, CA 92708-5153 | 2006-07-10 |
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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.