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: July 26, 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
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

Other Identifiers 1

Other20A12005CA · Osteopathic Medical Board Of California

Medicare Participation & PECOS CMS

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

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.

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.

Internal Medicine
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Internal Medicine
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Internal Medicine
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
General Practice
1001 S GARFIELD AVE
ALHAMBRA, CA 91801
Nurse Practitioner (Family)
1001 S GARFIELD AVE
ALHAMBRA, CA 91801

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.

When was this NPI record last updated?

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