Santillano, Jessica

Santillano, Jessica is an individual health care provider with primary practice located at 1668 Dominican Way , Santa Cruz CA 95065-1522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Santillano, Jessica can be contacted via phone (831) 464-9962.

Contact Information

Primary practice address
1668 Dominican Way Santa Cruz CA 95065-1522
Phone: (831) 464-9962
Fax: (831) 476-1433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT186262 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD439752 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X A129837 California

Profile Details

NPI number 1033359211
LBN Legal business name Santillano, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2009
Last updated Apr 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033359211 NPPES
Pennsylvania MEDICAID 102481361

Popular Providers