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

Juan Santillan

Individual provider Psychologist · NPI 1477168649

Juan Santillan is a Clinical Psychologist in Brea, California. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1215 W Imperial Hwy Ste 202
Brea, CA 92821-3734
Phone: (714) 202-7469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35743 (CA)
Psychologist Taxonomy 103T00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477168649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address1215 W Imperial Hwy Ste 202, Brea, CA 92821-3734

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brea