Provider Demographics
NPI:1962728477
Name:SANTANA, CASTEL ALANIZ (MD)
Entity type:Individual
Prefix:DR
First Name:CASTEL
Middle Name:ALANIZ
Last Name:SANTANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 S COLTRANE RD STE 280
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6722
Mailing Address - Country:US
Mailing Address - Phone:405-906-3892
Mailing Address - Fax:405-212-4907
Practice Address - Street 1:401 S COLTRANE RD STE 280
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6722
Practice Address - Country:US
Practice Address - Phone:405-906-3892
Practice Address - Fax:405-212-4907
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1407812365OtherGROUP NPI NORTH BEND MEDICAL CENTER
OR161133OtherGROUP MEDICAID NORTH BEND MEDICAL CENTER
ORMD161990OtherMEDICAL LICENSE
OR930635514OtherGROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
ORR0000WFBTVOtherGROUP MEDICARE NORTH BEND MEDICAL CENTER
OR500658801Medicaid
OR500658801Medicaid