DR. AGNES C SANTOSA M.D.
NPI 1689690927
Radiology - Diagnostic Radiology in San Diego, CA

Q: What is Agnes Santosa's NPI number?

The NPI number for Agnes Santosa is 1689690927. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Agnes Santosa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Agnes Santosa 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.

Active since July 13, 2006

11241 SPENCERPORT WAY, SAN DIEGO, CA 92131(858) 549-9652(858) 549-4941 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Agnes C Santosa M.d. NPPES

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

DR. AGNES C SANTOSA M.D. (NPI 1689690927) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A71735) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689690927

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. AGNES C SANTOSACredential: M.D.

Location Address11241 SPENCERPORT WAYSan Diego, CA 92131-2912

Mailing Address11241 Spencerport WaySan Diego, CA 92131-2912 · (858) 549-9652 · Fax (858) 549-4941

Phone(858) 549-9652

Fax(858) 549-4941

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689690927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A71735

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

11241 SPENCERPORT WAY, San Diego, CA 92131

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Other Identifiers 4

Medicare ID-Type UnspecifiedWA71735ACA

Medicare UPINH17988CA

Medicare ID-Type UnspecifiedWA71735BCA

Medicaid00A717350CA

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 Agnes Santosa's NPI number?

The NPI number for Agnes Santosa is 1689690927. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Agnes Santosa located?

Agnes Santosa practices at 11241 Spencerport Way, San Diego, CA 92131. The listed phone number is (858) 549-9652.

What is Agnes Santosa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Agnes Santosa 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.