Individual provider Active NPI

Alonso Dario Pezo Salazar, M.D.

  • Infectious Disease Physician
  • Walla Walla, WA
National Provider Identifier
1073963658
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
61111818 Issued in WA
Practice address
1313 N 13TH Ave
Walla Walla, WA 99362-8817
Phone
(509) 525-3610
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 61111818 WA Primary

Addresses

Primary practice location

1313 N 13TH Ave
Walla Walla, WA 99362-8817

Mailing address

1136 Whitman St
Walla Walla, WA 99362-3463
Phone (210) 307-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61111818WAMDInfectious Disease Physician

Interoperability endpoints

  • Direct secure messaging: apezosalazar92232@direct.phhs.org

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1073963658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 WHITMAN ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623463",
            "telephone_number": "210-307-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N 13TH AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628817",
            "telephone_number": "509-525-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZO SALAZAR",
        "first_name": "ALONSO",
        "middle_name": "DARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "61111818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; 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.