MARK A. DE LOS SANTOS (NPI# 1063901742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063901742 |
| Entity Type | Individual |
| Full Name | MARK A. DE LOS SANTOS |
| Credential | FNP-C |
| Practice Address |
1207 E Herndon Ave Fresno CA 93720-3235 |
| Practice Telephone | 5594324303 |
| Practice Fax Number | 5594324574 |
| Mailing Telephone | 5594324303 |
| Mailing Fax Number | 5594324574 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007685 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1207 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508835463 | Rohit Sundrani | Internal Medicine | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2006-03-14 |
| 1083228738 | Kimberly Laverne Obidiegwu | Physician Assistant | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2020-09-01 |
| 1811373897 | Karanvir Kaur | Nurse Practitioner | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2015-08-03 |
| 1700227030 | Amanda A. Tymn | Nurse Practitioner | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2013-07-15 |
| 1871802546 | Natasha Elizabeth Cogdill | Nurse Practitioner | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2010-09-29 |
| 1154541639 | Sandra Sullivan | Registered Nurse | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2007-04-26 |
| 1598817660 | Robert Alan Shows | Internal Medicine | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2007-01-17 |
| 1770592578 | Usman Javed | Internal Medicine | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2006-08-08 |
| 1811928039 | Lisa Marie Walter | Physician Assistant | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2006-07-05 |
| 1609845189 | William Edward Hanks | Internal Medicine | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777394 | Laura Gonzalez | Nurse Practitioner | 4208 N Bain Ave, Fresno, CA 93722-0447 | 2020-10-15 |
| 1740818012 | Yolanda Tizcareno | Nurse Practitioner | 2210 E Illinois Ave Fl 4, Fresno, CA 93701-2125 | 2020-03-31 |
| 1760014443 | Nancy Alice Jordan | Nurse Practitioner | 30 E River Park Pl W Ste 440, Fresno, CA 93720-1547 | 2020-02-10 |
| 1508498924 | Laura Hoffman | Nurse Practitioner | 27577 Tr 203, Fresno, OH 43824 | 2020-02-05 |
| 1619515293 | Lanigail Pangilinan | Nurse Practitioner | 2610 E Nees Ave Apt 109, Fresno, CA 93720-6014 | 2019-12-14 |
| 1205470929 | Zouapa Kalani Vue | Nurse Practitioner | 3137 N Burl Ave, Fresno, CA 93727-8915 | 2019-11-06 |
| 1871136705 | Ademewo Agbebiyi | Nurse Practitioner | 1819 Bravos Manor Ln, Fresno, TX 77545-1467 | 2019-10-23 |
| 1104477447 | Tayler Wilborn | Nurse Practitioner | 1714 Purple Cherry Ln, Fresno, TX 77545-1449 | 2019-09-27 |
| 1669023149 | Jaspreet Kaur Mann | Nurse Practitioner | 2587 S Bundy Dr, Fresno, CA 93727-6588 | 2019-09-25 |
| 1336797091 | Ellen Kahn | Nurse Practitioner | 6251 S Valentine Ave, Fresno, CA 93706-9166 | 2019-08-27 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MARK A. DE LOS SANTOS.
| 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.