Provider Demographics
NPI:1548271828
Name:SANTORO, JOHN P (DPM)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:SANTORO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29645 RANCHO CALIFORNIA RD
Mailing Address - Street 2:STE 209
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591
Mailing Address - Country:US
Mailing Address - Phone:951-699-9775
Mailing Address - Fax:951-695-2050
Practice Address - Street 1:28078 BAXTER RD STE 424
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1404
Practice Address - Country:US
Practice Address - Phone:951-679-1020
Practice Address - Fax:951-679-5844
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00E3428213E00000X
CA3428213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ25980ZMedicare ID - Type Unspecified
T82747Medicare UPIN