| Dr Jessica Santillano, MD | |
|
1668 Dominican Way, Santa Cruz, CA 95065-1522 | |
| (831) 464-9962 | |
| (831) 476-1433 |
| Full Name | Dr Jessica Santillano |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 1668 Dominican Way, Santa Cruz, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359211 | NPI | - | NPPES |
| 102481361 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT186262 (Pennsylvania) | Secondary |
| 208600000X | Surgery | MD439752 (Pennsylvania) | Secondary |
| 208600000X | Surgery | A129837 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dominican Hospital | Santa cruz, CA | Hospital |
| Watsonville Community Hospital | Watsonville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Associates Of Monterey Bay Medical Corporation | 4688577406 | 6 |
| Entity Name | Surgical Associates Of Monterey Bay Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003985037 PECOS PAC ID: 4688577406 Enrollment ID: O20040129000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Santillano, MD 1668 Dominican Way, Santa Cruz, CA 95065-1522 Ph: (831) 464-9962 | Dr Jessica Santillano, MD 1668 Dominican Way, Santa Cruz, CA 95065-1522 Ph: (831) 464-9962 |
Dr. Lawrence J. Spingola, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-476-1433 | |
Dr. Louis Choong Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-476-1433 | |
Mr. Larry David Resneck-sannes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Soquel Dr Ste A, Santa Cruz, CA 95065 Phone: 831-438-5222 Fax: 831-438-5229 | |
Paul Nguyen, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-464-9933 | |
Dr. Brian Waddle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1668 Dominican Way, Santa Cruz, CA 95065 Phone: 831-464-9962 Fax: 831-464-9933 | |
Dr. Bilal Mobashar Shafi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1575 Soquel Ave, Suite C, Santa Cruz, CA 95065 Phone: 831-458-6240 |