Provider Demographics
NPI:1780189233
Name:SANTANA, IGNACIO ABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:ABEL
Last Name:SANTANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40477 JOHNSTON RD
Mailing Address - Street 2:
Mailing Address - City:CUTLER
Mailing Address - State:CA
Mailing Address - Zip Code:93615-2262
Mailing Address - Country:US
Mailing Address - Phone:559-975-9455
Mailing Address - Fax:
Practice Address - Street 1:2330 POST ST STE 460
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3466
Practice Address - Country:US
Practice Address - Phone:415-885-7580
Practice Address - Fax:415-514-5614
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program