Individual provider · NPI-1

Jeffrey R Desantis, DPM

Podiatrist, Foot & Ankle Surgery · Orange, CA

NPI number1659371748
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1659371748
Entity type
Individual (NPI-1)
Name
Jeffrey R Desantis
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jul 29, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryE3758CAYes

Other names

  • Jeffrey R Desantis (Professional Name)

Practice location

1038 E Chapman Ave
Orange, CA 92866-2111

Phone 714-771-4191 · Fax 714-771-2731

Mailing address

1038 E Chapman Ave
Orange, CA 92866-2111

Phone 714-771-4191 · Fax 714-771-2731

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