DESANTO CLINICS (NPI# 1477085793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477085793 |
| Entity Type | Organization |
| Organization Name | DESANTO CLINICS |
| Practice Address |
230 E 17th St Suite 200 Costa Mesa CA 92627-3824 |
| Practice Telephone | 6266166183 |
| Mailing Telephone | 6266166183 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | DR. JOSEPH DESANTO (OWNER) |
| Authorized Official Telephone | 6266166183 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
G081151 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
230 E 17TH ST SUITE 200 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336110683 | Claudio M Carvalho | Physical Medicine & Rehabilitation | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2006-01-26 |
| 1629527767 | Angela Eunkyung Kim | Dentist | 230 E 17th St, 208, Costa Mesa, CA 92627-3824 | 2016-09-30 |
| 1750781381 | Suk Woo | Dentist | 230 E 17th St, Ste. 208, Costa Mesa, CA 92627-3824 | 2014-09-02 |
| 1871900399 | Mohammad Fardghassemi | Hearing Instrument Specialist | 230 E 17th St, Suite 170, Costa Mesa, CA 92627-3824 | 2014-07-16 |
| 1326464850 | Farand Kusnadi | Chiropractor | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2014-03-07 |
| 1508167115 | Claudio M. Carvalho, Do, A Prof Medical Corp | Non-Pharmacy Dispensing Site | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2010-11-12 |
| 1497984876 | Jessica Amling | Physical Therapist | 230 E 17th St, Suite 201, Costa Mesa, CA 92627-3824 | 2009-07-07 |
| 1851545537 | Chonway Daly Tram | Dentist | 230 E 17th St, Suite 208, Costa Mesa, CA 92627-3824 | 2008-11-08 |
| 1508015603 | Costa Mesa Corp. | Dentist | 230 E 17th St, Suite 208, Costa Mesa, CA 92627-3824 | 2008-09-12 |
| 1376712273 | Claudio M. Carvalho, D.o, A Professional Medical Corporation | Physical Medicine & Rehabilitation | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
| 1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
| 1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
| 1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
| 1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
| 1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
| 1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
| 1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on DESANTO CLINICS.
| 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.