| Dr Jed Alan Santa Maria, MD | |
|
452 Devonshire Dr, Brea, CA 92821-6014 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Dr Jed Alan Santa Maria |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 452 Devonshire Dr, Brea, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154642239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A102247 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New York University Langone Medical Center | New york, NY | Hospital |
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York University | 1355232422 | 5805 |
| Simonmed Imaging Florida Llc | 6608036108 | 290 |
| New York University | 1355232422 | 5805 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 177 |
| New York University | 1355232422 | 5805 |
| Smi Imaging Llc | 3476696220 | 376 |
| Entity Name | New York City Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | St Francis Cardiac Prevention Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376952804 PECOS PAC ID: 4183515836 Enrollment ID: O20150414000094 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200508000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jed Alan Santa Maria, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Dr Jed Alan Santa Maria, MD 452 Devonshire Dr, Brea, CA 92821-6014 Ph: (952) 595-1100 |