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DR. EVAN RAPHAEL SANTIAGO D.D.S.
NPI 1033525738
Dentist - Periodontics in Oakland, CA

Active since July 02, 2014Opted out of Medicare · through Aug 21, 2027
6333 TELEGRAPH AVE, OAKLAND, CA 94609(510) 547-1300 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Evan Raphael Santiago D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN RAPHAEL SANTIAGO D.D.S. (NPI 1033525738) is an individual periodontics provider in Oakland, California, licensed in California (64119) and active in the NPI registry since July 2014. He has opted out of Medicare through August 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033525738
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. EVAN RAPHAEL SANTIAGOCredential: D.D.S.
Location Address6333 TELEGRAPH AVEOakland, CA 94609-1359
Mailing Address6333 Telegraph Ave Ste 101Oakland, CA 94609-1359 · (510) 547-1300
Phone(510) 547-1300
Sole ProprietorNo
Enumeration DateJuly 2, 2014
Last NPPES UpdateOctober 26, 20234 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1033525738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 64119
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6333 TELEGRAPH AVE, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Evan Raphael Santiago D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 21, 2019 through August 21, 2027.

Opt-Out Effective DateAugust 21, 2019
Opt-Out In Effect ThroughAugust 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENOBIA FRANCES ELLIS
Counselor (Mental Health)
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 923-1099
SELENE SINGH
Counselor
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (109) 231-0995
TOSKA ISA MCQUEEN
Counselor
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 923-1099
CARMEN GAGNE
Specialist
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099
SHAEONNA SHAMARA MUHAMMAD
Specialist
6333 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 407-4122
THERESA RUBIN-ORTIZ LCSW
Social Worker (Clinical)
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099
LESLIE TAYLOR PH.D
Specialist
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099
KANDYCE KELSEY
Specialist
6333 TELEGRAPH AVE, SUITE 102
OAKLAND, CA 94609
Alameda County (510) 923-1099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Santiago's NPI number?

The NPI number for Evan Santiago is 1033525738. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Evan Santiago located?

Evan Santiago practices at 6333 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 547-1300.

What is Evan Santiago's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Evan Santiago enrolled in Medicare?

No. Evan Santiago has opted out of Medicare through August 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Evan Santiago was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.