Individual ProviderKatie SantanelloGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressNaval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001(614) 745-4757PECOS EnrollmentBased on the most recent information from CMS, provider Katie Santanello does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1184489874Provider TypeIndividualFull NameSantanello, KatieGenderFemaleSole ProprietorNoEnumeration Date2/21/2024Last Updated7/31/2025Contact InformationPractice LocationPractice AddressNaval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001Phone(614) 745-4757FaxUnlisted FaxMailing LocationMailing AddressNaval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001Phone(614) 745-4757FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0102209510Virginia