Healthcare Provider Details

I. General information

NPI: 1427952514
Provider Name (Legal Business Name): CARMINA SANTIAGO ADMINISTRATOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

786 DE PASSE WAY
HEMET CA
92544-2302
US

IV. Provider business mailing address

786 DE PASSE WAY
HEMET CA
92544-2302
US

V. Phone/Fax

Practice location:
  • Phone: 949-294-5881
  • Fax: 951-260-3663
Mailing address:
  • Phone: 949-294-5881
  • Fax: 951-260-3663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: