Dr. Evan Raphael Santiago
Periodontist
6333 Telegraph Ave
Oakland
, California 94609-1359
Dr. Evan Raphael Santiago
Periodontist
6333 Telegraph Ave
Oakland
, California 94609-1359
(408) 309-3773
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Evan Raphael Santiago
- 938 Clark Ave Apt 4
- Mountain View, CA
- Zip : 94040-2237
- Phone : (408) 309-3773
Second Address
- Dr. Evan Raphael Santiago
- 6333 Telegraph Ave
- Oakland, CA
- Zip : 94609-1359
- Phone : (510) 547-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 64119 | CA |
National Provider Identifier
| NPI | 1033525738 |
|---|---|
| Provider Name | Dr. Evan Raphael Santiago |
| First Address | Mountain View, CA 94040-2237 |
| Second Address | Oakland, CA 94609-1359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2014 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.