Annie Marie M Santos


Address: 832 S Fairmont Ave, Lodi, CA 95240-5117
Phone: 2093659331

Annie Marie M Santos (NPI# 1881607455, PAC ID# 5193781359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1881607455
PAC ID by PECOS 5193781359
Professional Enrollment ID I20041208001202
Full Name Annie Marie M Santos
Address 832 S Fairmont Ave
Lodi
CA 95240-5117
Phone Number 2093659331
Gender F
Credential MD
Medical School UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty FAMILY MEDICINE
Secondary Specialties EMERGENCY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050336 ADVENTIST HEALTH LODI MEMORIAL

Other Locations

Address Phone Organization
832 S Fairmont Ave, Lodi, CA 95240-5117 2093659331

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%

Organization Information

Office Location

Street Address 832 S FAIRMONT AVE
City LODI
State CA
Zip 95240-5117

Physicians in the same zip code

Name Specialty Organization Address
Ramnik Singh Clair Osteopathic Manipulative Medicine 900 S Fairmont A A, Lodi, CA 95240
Kharis E Powell Psychologist, Clinical 12 S Hutchins St, Lodi, CA 95240-1922
Sarah A Bozeman Physical Therapy Golden Bear Physical Therapy and Sports Injury Center, Inc 210 W Pine St, Lodi, CA 95240-2020
Zachary Joseph Mertz Physical Therapy Golden Bear Physical Therapy and Sports Injury Center, Inc 210 W Pine St, Lodi, CA 95240-2020
Fatema M Ghani Physical Therapy Golden Bear Physical Therapy and Sports Injury Center, Inc 210 W Pine St, Lodi, CA 95240-2020
Michael R Oconnell Chiropractic 404 W Pine St, Suite 14, Lodi, CA 95240-2048
Toni F Reynolds Chiropractic 404 W Pine St, Suite 4, Lodi, CA 95240-2048
Heather West Leam Chiropractic 812 W Lodi Ave, Lodi, CA 95240-3302
Larry Od Simpfenderfer Optometry 1210 W Tokay St, Lodi, CA 95240-3810
Frank T Huang Jr. Endocrinology Adventist Health Physicians Network 515 S Fairmont Ave, Lodi, CA 95240-3834
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Competitor

Search similar physicians

City LODI
Zip Code 95240
Specialty FAMILY MEDICINE
City + Specialty LODI + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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