Individual
DR. JOHN DANIEL SANTANIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1238 E ARROW HWY, UPLAND, CA 91786-4951
(909) 982-4233
(909) 985-1103
Mailing address
1238 E ARROW HWY, UPLAND, CA 91786-4951
(909) 982-4233
(909) 985-1103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G21403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124120696
JOHN SANTANIELLO (NPI)
CA
01
—
1265651608
SANTANIELLO ORTHO (NPI)
CA
01
—
G21403
MEDICAL LICENSE
CA
01
—
ZZZ05630Z
MEDICARE GROUP PTAN
CA
Enumeration date
09/03/2006
Last updated
04/09/2008
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