Jose Reveles Salcedo, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95036807 Issued in CA

Practice address

16888 Nisqualli Rd Ste 200-4
Victorville, CA 92395-9703

Phone

(909) 921-8953

NPI assigned

Aug 22, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarity Nursing, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Victorville, CA
  • NPI 1558232611
  NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1053299594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16888 NISQUALLI RD STE 200-4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959703",
            "telephone_number": "760-502-8020",
            "fax_number": "760-841-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16888 NISQUALLI RD STE 200-4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959703",
            "telephone_number": "909-921-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "JOSE",
        "middle_name": "REVELES",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Salazar
• Stephany Salazar, NURSE PRACTITIONER
• Zafiro Jannine Salazar
• Cindy Rae Salbino, PMHNP-BC
• Randolph Salbino, NP
• Juan Salcedo
• Elena Ann Saldana, LMFT
• Saldana'S Chiropractic & Wellness Center
• Kyan Salehi, DMD
• Mehrnaz Salehidobakhshari, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.