1. Home
  2. Directory
  3. California
  4. Glendale
  5. Dentist
  6. NPI Profile

DR. JENNIFER VENGCO SANTOS DDS
NPI 1215079801
Dentist - General Practice in Glendale, CA

Active since February 12, 2007PECOS Enrolled
3516 COUNTRY CLUB DR, GLENDALE, CA 91208(818) 957-4403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jennifer Vengco Santos Dds NPPES

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

DR. JENNIFER VENGCO SANTOS DDS (NPI 1215079801) is an individual general practice provider in Glendale, California, licensed in California (49403) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215079801
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER VENGCO SANTOSCredential: DDS
Location Address3516 COUNTRY CLUB DRGlendale, CA 91208-1156
Mailing Address3516 Country Club DrGlendale, CA 91208-1156 · (818) 957-4403
Phone(818) 957-4403
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215079801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 49403
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3516 COUNTRY CLUB DR, Glendale, CA 91208
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Jennifer Vengco

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Vengco Santos Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Santos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Valley Health Corporation
7.7 mi
Federally Qualified Health Center (FQHC)
7223 N. FAIR AVENUE
Sun Valley, CA 91352
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1013199264 (818) 432-4400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91208 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Jennifer Santos's NPI number?

The NPI number for Jennifer Santos is 1215079801. It was assigned to this individual provider in the NPPES registry on February 12, 2007. The provider is also known as Miss Jennifer Vengco.

Where is Jennifer Santos located?

Jennifer Santos practices at 3516 Country Club Dr, Glendale, CA 91208. The listed phone number is (818) 957-4403.

What is Jennifer Santos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Santos enrolled in Medicare?

Yes. Jennifer Santos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Santos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Santos reassigns Medicare benefits to Northeast Valley Health Corporation (Sun Valley, 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 Jennifer Santos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Santos accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 1 other insurer list Jennifer Santos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Santos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.