1477756328 NPI number — MRS. MARGARITA SANTIAGO CHECK MFTT

Table of content: MRS. MARGARITA SANTIAGO CHECK MFTT (NPI 1477756328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477756328 NPI number — MRS. MARGARITA SANTIAGO CHECK MFTT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANTIAGO CHECK
Provider First Name:
MARGARITA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFTT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANTIAGO CHECK
Provider Other First Name:
MARGIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1477756328
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1559
Provider Second Line Business Mailing Address:
ATTN ANN LEE CLINICA SIERRA VISTA
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93302-1559
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-635-3050
Provider Business Mailing Address Fax Number:
661-869-1503

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7839 BURGUNDY AVE
Provider Second Line Business Practice Location Address:
CLINICA SIERRA VISTA BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
LAMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-845-5100
Provider Business Practice Location Address Fax Number:
661-845-5106
Provider Enumeration Date:
06/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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