JEFFREY R DESANTIS DPM PC (NPI# 1669568580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669568580 |
| Entity Type | Organization |
| Organization Name | JEFFREY R DESANTIS DPM PC |
| 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 | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFFREY R DESANTIS (OWNER) |
| Authorized Official Telephone | 7147714191 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 0791680001 | 01 |
| 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 |
| 1659371748 | Jeffrey R Desantis | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2005-07-29 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553094 | Coastal Care Consulting | Durable Medical Equipment & Medical Supplies | 1007 W Grove Ave Ste C, Orange, CA 92865-4153 | 2020-06-17 |
| 1821625088 | Sterling Medical LLC | Durable Medical Equipment & Medical Supplies | 272 Hyland Ter, Orange, CT 06477-1107 | 2020-03-26 |
| 1518517887 | Netco Medical | Durable Medical Equipment & Medical Supplies | 960 N Tustin St Ste 388, Orange, CA 92867-5956 | 2019-09-18 |
| 1487110300 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 1574 N Batavia St Ste 4, Orange, CA 92867-3543 | 2019-02-15 |
| 1699292425 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2620 E Chapman Ave, Orange, CA 92869-3207 | 2017-08-23 |
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1376815225 | Gregory Allan Hall | Durable Medical Equipment & Medical Supplies | 311 S Marie Pl, Orange, CA 92868-3427 | 2012-02-07 |
| 1396030136 | Ocular Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 1310 W Stewart Dr Ste 405, Orange, CA 92868-3855 | 2011-06-09 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1740438712 | Mobilitydme Plus Inc | Durable Medical Equipment & Medical Supplies | 646 E Katella Ave, Orange, CA 92867-4954 | 2008-09-03 |
| Find all providers in ORANGE | ||||
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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.