SHELLEY SANTOS CANLAS (NPI# 1700022894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700022894 |
| Entity Type | Individual |
| Full Name | SHELLEY SANTOS CANLAS |
| Other Name | SHELLEY SANTOS CANLAS BENEDICT |
| Credential | M.D. |
| Practice Address |
2212 E 4th St Santa Ana CA 92705-3870 |
| Mailing Address |
2212 E 4th St Ste 103 Santa Ana CA 92705-3871 |
| Practice Telephone | 7145717700 |
| Practice Fax Number | 7145717702 |
| Mailing Telephone | 7145717700 |
| Mailing Fax Number | 7145717702 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A106335 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | A106335 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2020 Zonal Ave, Room 110, Los Angeles, CA 90033 | 7149324489 | |
| 2251 N Harbor Blvd, Fullerton, CA 928352601 | 7144496230 |
| Street Address |
2212 E 4TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831153394 | Danielle Elizabeth Curitore | Pediatrics | 2212 E 4th St, Santa Ana, CA 92705-3870 | 2006-04-13 |
| 1134594690 | Ana Cristina Jurczyk | Dietitian, Registered | 2212 E 4th St, Suite 301, Santa Ana, CA 92705-3870 | 2015-12-09 |
| 1609255496 | Stephanie Ruth Spaulding | Registered Nurse | 2212 E 4th St, Santa Ana, CA 92705-3870 | 2015-05-26 |
| 1669881090 | Imran Syed | Dietitian, Registered | 2212 E 4th St, Santa Ana, CA 92705-3870 | 2014-08-11 |
| 1962744201 | Jesil Joy Pazhayampallil | Pediatrics | 2212 E 4th St, Santa Ana, CA 92705-3870 | 2013-03-25 |
| 1477805646 | Heather Lynn Burchall | Dietitian, Registered | 2212 E 4th St, Santa Ana, CA 92705-3870 | 2012-10-11 |
| 1477802486 | Natalie Buntzen | Dietitian, Registered | 2212 E 4th St, Suite 301, Santa Ana, CA 92705-3870 | 2012-09-05 |
| 1649504911 | J11 Consulting Inc | Pharmacy | 2212 E 4th St, Suite 102, Santa Ana, CA 92705-3870 | 2009-09-19 |
| 1326297078 | St. Joseph Hospital of Orange | Clinic/Center | 2212 E 4th St, Santa Ana, CA 92705-3811 | 2008-09-17 |
| 1366699274 | Taylor Tram Tran | Pediatrics | 2212 E 4th St, Santa Ana, CA 92705-3870 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750685780 | Mona Jasuja | Pediatrics | 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 | 2011-01-05 |
| 1972807022 | Faraz Valaie | Pediatrics | 15 Macarthur Place, #601, Santa Ana, CA 92707 | 2011-01-04 |
| 1750533535 | Sornya Ponrartana | Pediatrics | 3526 W 1st St, Santa Ana, CA 92703-3302 | 2008-10-13 |
| 1184801573 | Norka Iriarte Wilkinson | Pediatrics | 2212 E 4th St Ste 103, Santa Ana, CA 92705-3871 | 2008-01-28 |
| 1801089578 | Liberty Grace Lowe | Pediatrics | 801 W Civic Center Dr Ste 100, Santa Ana, CA 92701-4079 | 2007-08-24 |
| 1083736474 | South Coast Pediatrics | Pediatrics | 1619 N Spurgeon St, Santa Ana, CA 92701-2328 | 2007-04-04 |
| 1063562908 | Patricia Ann Riba | Pediatrics | 2100 W Alton Ave # 2, Santa Ana, CA 92704-7170 | 2007-01-11 |
| 1245326982 | Oranee Ekmaha Chai | Pediatrics | 1212 S Bristol St, Suite 16, Santa Ana, CA 92704-3476 | 2006-10-04 |
| 1922193598 | Maged G Ramsy | Pediatrics | 2720 Bristol St, Santa Ana, CA 92704 | 2006-10-03 |
| 1225131857 | Saowaree Ponrartana | Pediatrics | 3526 West First Street, Santa Ana, CA 92703-3302 | 2006-09-07 |
| Find all providers in SANTA ANA | ||||
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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.