Salvatore Rafael Palomino

Key facts

NPI

1104581149

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818

Phone

(760) 853-4888

NPI assigned

Nov 4, 2021

Sex

Male

Sole proprietor

Yes

Organizations & group practices 2

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.

• Valley Star Behavioral Health, Inc. Community/Behavioral Health Agency · Downey, CA · NPI 1396491973
  NPD (past)
• Valley Star Behavioral Health, Inc. Community/Behavioral Health Agency · Yucca Valley, CA · NPI 1457731606
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2021.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1104581149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY STE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845818",
            "telephone_number": "760-853-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY STE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845818",
            "telephone_number": "760-853-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "SALVATORE",
        "middle_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spalomino@starsinc.com",
            "affiliation": "N",
            "address_1": "58471 29 Palms Hwy Ste 102",
            "city": "Yucca Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922845818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Yucca Valley, CA · Case Manager/Care Coordinator in California