Provider Demographics
NPI:1730274283
Name:SANTOYO, ROBERTO R (PA)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:R
Last Name:SANTOYO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 F ST
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-3028
Mailing Address - Country:US
Mailing Address - Phone:559-743-7340
Mailing Address - Fax:559-743-7395
Practice Address - Street 1:1121 F ST
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-3028
Practice Address - Country:US
Practice Address - Phone:559-743-7340
Practice Address - Fax:559-743-7395
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA13489364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
P65138Medicare UPIN
CA0PA134890Medicare ID - Type Unspecified