Salvador Blancas, SUDCC #8399

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

401 Briarfield Way
Belmont, CA 94002

Phone

(650) 369-4598

Fax

(650) 244-1447

NPI assigned

Oct 5, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun

  • Substance Abuse Rehabilitation Facility
  • San Bruno, CA
  • NPI 1417093105

  Addiction (Substance Use Disorder)

  NPD (past)
• Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun

  • Prevention Professional
  • San Bruno, CA
  • NPI 1568750891
  NPD (past)
• Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun

  • Substance Abuse Rehabilitation Facility
  • Belmont, CA
  • NPI 1740578087
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1003190299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN STE 210",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662349",
            "telephone_number": "650-244-1444",
            "fax_number": "650-244-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BRIARFIELD WAY",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "650-369-4598",
            "fax_number": "650-244-1447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sneath Ln Ste E210",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940662308",
            "country_code": "US",
            "telephone_number": "650-244-1442",
            "fax_number": "650-244-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCAS",
        "first_name": "SALVADOR",
        "name_prefix": "Mr.",
        "credential": "SUDCC #8399",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AOD COUNSELOR",
            "identifier": "B1401221633",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belmont Advanced Chiropractic
• Wilder Benites-Arcibia
• Darcy Benson, AU.D.
• Annabelle Riley Bewicke
• Suman Bhagat, DDS
• Xavier Roberto Blancas
• Jennifer Bodine
• Consuela Bolanos
• Bonfigli Chiropractic Corporation
• Carmelina Borg, M.F.T.

• Addiction (Substance Use Disorder) Counselor in Belmont, CA
• Providers in Belmont, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.