Provider Demographics
NPI:1558597583
Name:SANTI-ROGERS, DARLENE (RN)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:SANTI-ROGERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DARLENE
Other - Middle Name:MAY
Other - Last Name:SANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11813 ALLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4101
Mailing Address - Country:US
Mailing Address - Phone:858-513-0665
Mailing Address - Fax:
Practice Address - Street 1:3350 LAJOLLA VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0001
Practice Address - Country:US
Practice Address - Phone:858-642-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497060163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA235784OtherCNS
CA497060OtherRN