Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jayson Geronimo Santiago

Individual provider Acute Care Nurse Practitioner · NPI 1982248761

Jayson Geronimo Santiago is a Nurse Practitioner in Santa Rosa, California. Qualified in 2019, 7 years ago. Practices with Physician Assistant Surgical Assist Inc, a 34-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019

Practice location Address checks out

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone: (707) 334-9839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95012332 (CA)

Record details

NPI number1982248761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2019
Last updated in NPPESNovember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physician Assistant Surgical Assist Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Santa Rosa