NPIMap

Organization Active NPI

Salas Medical Clinic, Inc.

  • Rural Health Clinic/Center
  • Porterville, CA
National Provider Identifier
1013112689
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
A38943 Issued in CA
Legal business name
SALAS MEDICAL CLINIC, INC.
Practice address
575 W Putnam Ave
Porterville, CA 93257-3270
Phone
(559) 784-6888
Fax
(559) 784-1592
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Jose Rual Salas, M.D.NPI 1427062157
Title
Medical Director
Phone
(559) 784-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X A38943 CA Primary

Addresses

Primary practice location

575 W Putnam Ave
Porterville, CA 93257-3270

Mailing address

575 W Putnam Ave
Porterville, CA 93257-3270
Phone (559) 784-6888

Other identifiers 1

IdentifierTypeStateIssuer
00A389430MedicaidCA

Other names 1

  • Salas Medical Clinic, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salas Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1013112689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573270",
            "telephone_number": "559-784-6888",
            "fax_number": "559-784-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573270",
            "telephone_number": "559-784-6888",
            "fax_number": "559-784-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAS MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RUAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-784-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "A38943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A389430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salas Medical Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.