JAYSON GERONIMO SANTIAGO (NPI# 1982248761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982248761 |
| Entity Type | Individual |
| Full Name | JAYSON GERONIMO SANTIAGO |
| Practice Address |
30 Mark West Springs Rd Santa Rosa CA 95403-1436 |
| Mailing Address |
39 Toscana Dr American Canyon CA 94503-1470 |
| Practice Telephone | 7073349839 |
| Mailing Telephone | 7073349839 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95012332 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 MARK WEST SPRINGS RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422008 | Mitchell Edward Bailey | Surgery | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2006-01-19 |
| 1588280374 | Richard Parke | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2020-06-17 |
| 1093340366 | Erin Renee Flora | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2020-03-07 |
| 1497390892 | Samantha Caceres | Registered Nurse | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2019-11-10 |
| 1396206165 | Barbara Walston | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403 | 2019-03-26 |
| 1134625965 | Vanessa Elizabeth Ramirez | Student in an Organized Health Care Education/Training Program | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2018-04-02 |
| 1609313212 | Katherine Schwartz | Physical Therapist | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2017-01-21 |
| 1194120451 | California Pacific Pathology Medical Group | Pathology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2014-10-29 |
| 1306107271 | Frederick William Romberg | Anesthesiology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2012-06-06 |
| 1740509710 | Khushdeep Kaur Grewal | Family Medicine | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669623021 | Mario F Palmieri | Nurse Practitioner | 123 Bay St, Santa Rosa, CA 95405-4608 | 2008-10-03 |
| 1316162662 | Mark A Covec | Nurse Practitioner | 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405-4559 | 2007-04-13 |
| 1376144543 | Brandi Marie Peroney | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2020-11-04 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1134411820 | Seohee Cho | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2011-05-12 |
| 1013223379 | Julie Barlow | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2010-08-25 |
| 1033442165 | Cynthia Jovanov | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2009-09-08 |
| 1205859311 | Toni M Mcfadden | Nurse Practitioner | 3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3634 | 2006-07-26 |
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|---|---|---|---|---|
| 1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on JAYSON GERONIMO SANTIAGO.
| 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.