Kiely Kathleen Santiago, FNP-C - Medicare Nurse Practitioner in Canoga Park, CA

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Kiely Kathleen Santiago, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Canoga Park, California. Her current practice location is 22048 Sherman Way Ste 313, Canoga Park, California. You can reach out to her office (for appointments etc.) via phone at (213) 465-2643.

Kiely Kathleen Santiago is licensed to practice in California (license number NP95033303) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518770882.

Contact Information

Kiely Kathleen Santiago, FNP-C
22048 Sherman Way Ste 313,
Canoga Park, CA 91303-3014
(213) 465-2643
Not Available

Map and Direction




Provider's Profile

Full NameKiely Kathleen Santiago
GenderFemale
SpecialityNurse Practitioner - Family
Location22048 Sherman Way Ste 313, Canoga Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518770882
  • Provider Enumeration Date: 01/30/2025
  • Last Update Date: 09/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698291284
  • Enrollment ID: I20250428000890

Medical Identifiers

Medical identifiers for Kiely Kathleen Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518770882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95033303 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kiely Kathleen Santiago allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Medical Group Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033309372
PECOS PAC ID: 8224191374
Enrollment ID: O20090115000289
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiely Kathleen Santiago is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kiely Kathleen Santiago, FNP-C
22048 Sherman Way Ste 313,
Canoga Park, CA 91303-3014

Ph: (213) 465-2643		Kiely Kathleen Santiago, FNP-C
22048 Sherman Way Ste 313,
Canoga Park, CA 91303-3014

Ph: (213) 465-2643

Reviews and Comments


Nurse Practitioner Nurses in Canoga Park, CA

Susan Dale Steinrad, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 21013 Sherman Way, Unit 4, Canoga Park, CA 91303
Phone: 818-887-1209    Fax: 818-887-9495
Julie Song Swanagan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 21300 Sherman Way Ste 3, Canoga Park, CA 91303
Phone: 818-900-2478    Fax: 818-900-2478
Ashkhen Babayan, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7345 Topanga Canyon Blvd # 130, Canoga Park, CA 91303
Phone: 747-242-4820    
Diep Le Dinh,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8037 De Soto Ave, Canoga Park, CA 91304
Phone: 818-251-6961    
Cristina Marie Barrett, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 21001 Sherman Way Ste 15, Canoga Park, CA 91303
Phone: 818-716-0048    
June Susan Martin, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 21013 Sherman Way, Unit 4, Canoga Park, CA 91303
Phone: 818-887-9697    Fax: 818-887-9495
Karen Marhoffer, MSN, APRN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7947 Farralone Ave, Canoga Park, CA 91304
Phone: 818-519-8682    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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