Individual provider Active NPI

Joshua Luther Salley, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Travis Afb, CA
National Provider Identifier
1063258127
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0021116 Issued in OH
Practice address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone
(707) 423-3000
NPI assigned
Jul 8, 2024
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.369130 OH
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.0021116 OH Primary

Addresses

Primary practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (740) 475-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115003355 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012445281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians
San Joaquin Faculty Medical GroupGroup PAC ID 4082631395, 126 clinicians

Practice addresses (Care Compare)

1420 E Roseville Pkwy
Suite 100
Roseville, CA 95661-3080
Phone (916) 677-2488

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6600

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.369130OHMDCritical Care Medicine Registered Nurse
APRN.CRNA.0021116OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Jan 7, 2025 Accepting new patients
County of San Joaquin CurrentSince Jan 7, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 21, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Jan 7, 2025 Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1063258127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "740-475-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "JOSHUA",
        "middle_name": "LUTHER",
        "name_prefix": "Mr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN.369130",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0021116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.