Healthcare Provider Details

I. General information

NPI: 1285540146
Provider Name (Legal Business Name): MONET SANTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 N COTTONWOOD ST
WOODLAND CA
95695-6647
US

IV. Provider business mailing address

315 N COTTONWOOD ST APT 13
WOODLAND CA
95695-5863
US

V. Phone/Fax

Practice location:
  • Phone: 530-666-8630
  • Fax:
Mailing address:
  • Phone: 530-666-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number702000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: