NPIMap

Individual provider Active NPI

Salvaldor O Vallarta, O.D.

  • Optometrist
  • Salinas, CA
National Provider Identifier
1083700884
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT10972T Issued in CA
Practice address
311 Pajaro St
Salinas, CA 93901-3421
Phone
(831) 757-4500
Fax
(831) 757-4509
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT10972T CA Primary

Addresses

Primary practice location

311 Pajaro St
Salinas, CA 93901-3421

Mailing address

311 Pajaro St
Salinas, CA 93901-3421
Phone (831) 757-4500

Other identifiers 1

IdentifierTypeStateIssuer
SD00109720MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107001411 CA Practitioner - Optometry 9133442734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Clinicas de Salud del Pueblo IncGroup PAC ID 5496657082, 42 clinicians

Practice addresses (Care Compare)

852 E Danenberg Dr
El Centro, CA 92243-3320

852 E Danenberg Dr
El Centro, CA 92243-8517
Phone (760) 356-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT10972TCAMDOptometrist
10972CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Optometric Corporation Optometrist CurrentSince Nov 1, 2014 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Nov 1, 2019 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Nov 1, 2019 Accepting new patients
Clinicas de Salud del Pueblo, Inc. Past Accepting new patients
Total Vision PC Optometrist Past Accepting new patients
Monterey Bay Eye Associates Medical Group, a Medical Corporation PastSince Jul 9, 1998 Accepting new patients
Dean E Fewtrell OD a Professional Optometric Corporation Optometrist PastSince Mar 1, 2001 Accepting new patients
Joseph Jess Estrada, a P O C Optometrist Past Accepting new patients

Locations

223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020

3451 S Dogwood Rd
Ste 1334
El Centro, CA 92243
Phone (760) 336-3003

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

Interoperability endpoints

  • Direct secure messaging: salvador.vallarta.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083700884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-757-4500",
            "fax_number": "831-757-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PAJARO ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013421",
            "telephone_number": "831-757-4500",
            "fax_number": "831-757-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLARTA",
        "first_name": "SALVALDOR",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT10972T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD00109720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.