MR. JOHN SANTOS MS,CCC-SLP
NPI 1639567548
Speech-Language Pathologist in San Mateo, CA

Active since December 30, 2014Accepts Medicare Assignment
401 S NORFOLK ST, #205, SAN MATEO, CA 94401(510) 289-3965 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John Santos Ms,ccc-slp NPPES

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

MR. JOHN SANTOS MS,CCC-SLP (NPI 1639567548) is an individual speech-language pathologist provider in San Mateo, California, licensed in California (SP 16754) and active in the NPI registry since December 2014. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1639567548
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. JOHN SANTOSCredential: MS,CCC-SLP
Location Address401 S NORFOLK ST, #205San Mateo, CA 94401-3074
Mailing Address401 South Norfolk St., #205San Mateo, CA 94401 · (510) 289-3965
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 30, 2014
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1639567548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · SP 16754
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
401 S NORFOLK ST, San Mateo, CA 94401

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

Mr. John Santos Ms,ccc-slp 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 ID9133669823
PECOS Enrollment IDI20240909003225

Medicare Billing Reassignment

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

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

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 John Santos's NPI number?

The NPI number for John Santos is 1639567548. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is John Santos located?

John Santos practices at 401 S Norfolk St #205, San Mateo, CA 94401. The listed phone number is (510) 289-3965.

What is John Santos's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is John Santos enrolled in Medicare?

Yes. John Santos 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 John Santos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Santos reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, 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 John Santos'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 John Santos was last updated on June 2, 2022. 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.