SANTIBANEZ PAC INDIANA – NPI #1255106852
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

SANTIBANEZ PAC INDIANA is a provider located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1255106852 to SANTIBANEZ PAC INDIANA on November 24, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANTIBANEZ PAC INDIANA below.

NPI Profile for
SANTIBANEZ PAC INDIANA

NPI Number
1255106852
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANTIBANEZ PAC INDIANA
Primary location
2026 E 54TH ST
INDIANAPOLIS, IN 46220-3490
Phone: (317) 253-6950 Fax:
Mailing address
10775 DOUBLE R BLVD
RENO, NV 89521-8956
Phone: Fax:
Organization Subpart
No
Authorized Official
JULIE ROSER
VP OF OPERATIONS
Phone: (775) 222-0045
Updated
Certification Date
Nov 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.