PAULUS SANTOSO MD A PROFESSIONAL CORPORATION
NPI 1093042970
Obstetrics & Gynecology - Obstetrics in Riverside, CA

Active since November 12, 2009
6969 BROCKTON AVE, SUITE A-B, RIVERSIDE, CA 92506(951) 530-8989(951) 530-8877 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2016, Feb 24, 2016 (2 updates tracked since 2016).

About Paulus Santoso Md A Professional Corporation NPPES

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

PAULUS SANTOSO MD A PROFESSIONAL CORPORATION (NPI 1093042970) is a healthcare organization registered as an obstetrics in Riverside, California and active in the NPI registry since November 2009. The organization lists Paulus Liem Santoso, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093042970
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NamePAULUS SANTOSO MD A PROFESSIONAL CORPORATION
Location Address6969 BROCKTON AVE, SUITE A-BRiverside, CA 92506-3809
Mailing Address6969 Brockton Ave, Suite A-bRiverside, CA 92506-3809 · (951) 530-8989 · Fax (951) 530-8877
Fax(951) 530-8877
Organization SubpartNo
Authorized OfficialPaulus Liem SantosoCeo · (951) 530-8989
Enumeration DateNovember 12, 2009
Last NPPES UpdateMarch 4, 20162 updates tracked since enumeration
NPI 1093042970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in CA · A85478
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
6969 BROCKTON AVE, Riverside, CA 92506

Other Identifiers 3

Medicare UPIN73276
Other00A854780CA · Medicare
Medicaid00A854780CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Obstetrics & Gynecology (Obstetrics)
6969 BROCKTON AVE, STE. A-B
RIVERSIDE, CA 92506
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Anesthesiology
6969 BROCKTON AVE, AVE B
RIVERSIDE, CA 92506
Anesthesiology
6969 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506

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 Paulus Santoso MD A Professional Corporation's NPI number?

The NPI number for Paulus Santoso MD A Professional Corporation is 1093042970. It was assigned to this organization in the NPPES registry on November 12, 2009.

Where is Paulus Santoso MD A Professional Corporation located?

Paulus Santoso MD A Professional Corporation is located at 6969 Brockton Ave Suite A-B, Riverside, CA 92506. The listed phone number is (951) 530-8989.

What is Paulus Santoso MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

When was this NPI record last updated?

The NPPES record for Paulus Santoso MD A Professional Corporation was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.