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MICHELLE DOMINIQUE DE SANTO D.O.
NPI 1104194299
General Practice in Alhambra, CA

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
1001 S GARFIELD AVE, ALHAMBRA, CA 91801(818) 788-4513 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Dominique De Santo D.o. NPPES

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

MICHELLE DOMINIQUE DE SANTO D.O. (NPI 1104194299) is an individual general practice provider in Alhambra, California, licensed in California (20A12005) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2010).

NPPES Registry Identity

NPI1104194299
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMICHELLE DOMINIQUE DE SANTOCredential: D.O.
Location Address1001 S GARFIELD AVEAlhambra, CA 91801-4772
Mailing Address1001 S Garfield AveAlhambra, CA 91801-4772
Phone(818) 788-4513
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2010
Enumeration DateDecember 5, 2011
Last NPPES UpdateDecember 27, 2021
✔ NPI 1104194299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 20A12005
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1001 S GARFIELD AVE, Alhambra, CA 91801
Open in Google Maps ↗

Other Identifiers 1

Other20A12005CA · Osteopathic Medical Board Of California

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Dominique De Santo D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002068137
PECOS Enrollment IDI20121218000153
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle De Santo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
313 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

PHYSICIAN NETWORK SPECIALISTS
Internal Medicine
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Los Angeles County (626) 560-6251
HARMONIQ MEDICAL GROUP P.C
Internal Medicine
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Los Angeles County (626) 688-5951
GERICARE MEDICAL GROUP
Internal Medicine
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Los Angeles County (213) 986-7998
CHAN UNITED MEDICAL GROUP, INC.
General Practice
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Los Angeles County (626) 308-0138
JIAE KWAK FNP
Nurse Practitioner (Family)
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Los Angeles County (310) 803-7648

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 Michelle De Santo's NPI number?

The NPI number for Michelle De Santo is 1104194299. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Michelle De Santo located?

Michelle De Santo practices at 1001 S Garfield Ave, Alhambra, CA 91801. The listed phone number is (818) 788-4513.

What is Michelle De Santo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michelle De Santo enrolled in Medicare?

Yes. Michelle De Santo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle De Santo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle De Santo reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle De Santo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle De Santo was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.