MARK A. DE LOS SANTOS FNP-C
NPI 1063901742
Nurse Practitioner - Family in Fresno, CA

Q: What is Mark De Los Santos's NPI number?

The NPI number for Mark De Los Santos is 1063901742. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Q: What is Mark De Los Santos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 08, 2018PECOS Enrolled

1207 E HERNDON AVE, FRESNO, CA 93720(559) 432-4303(559) 432-4574 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark A. De Los Santos Fnp-c NPPES

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

MARK A. DE LOS SANTOS FNP-C (NPI 1063901742) is an individual family provider in Fresno, California, licensed in California (95007685) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063901742

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMARK A. DE LOS SANTOSCredential: FNP-C

Location Address1207 E HERNDON AVEFresno, CA 93720-3235

Mailing Address1207 E Herndon AveFresno, CA 93720-3235 · (559) 432-4303 · Fax (559) 432-4574

Phone(559) 432-4303

Fax(559) 432-4574

Sole ProprietorNo

Enumeration DateMay 8, 2018

✔ NPI 1063901742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95007685

1207 E HERNDON AVE, Fresno, CA 93720

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A. De Los Santos Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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