# JOHN GEORGE DESANTIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245205137
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 20A 10304 | CA | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 06/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200036404 | RAILROAD MEDICARE | — |
| 01 | — | 2054400135 | HEALTH PLUS | — |
| 01 | — | 20A 10304 | CA LICENSE | CA |
| 01 | — | 4127171 | AETNA | — |
| 01 | — | 5440013 | BLUE CARE NETWORK | — |
| 01 | — | C2477 | MCARE | — |
| 01 | — | D60760 | HEALTH ALLIANCE PLAN/HAP | — |