Active NPI
Tristar Home Visit Providers Inc
- Family Nurse Practitioner
- Moreno Valley, CA
National Provider Identifier
1114381555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21506
- Legal business name
- TRISTAR HOME VISIT PROVIDERS INC
- Practice address
- 26593 Azalea St
Moreno Valley, CA 92555-3526 - Phone
- (909) 565-8384
- NPI assigned
- Apr 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Victoria T Salcedo, NP
- Title
- President
- Phone
- (909) 565-8384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21506 | CA | Primary |
Addresses
Primary practice location
26593 Azalea St
Moreno Valley, CA 92555-3526
Mailing address
26593 Azalea St
Moreno Valley, CA 92555-3526
Phone (909) 565-8384
National Provider Directory
National Provider Directory- Tax ID family
- Tristar Home Visit Providers Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- San Bernardino, CA
- NPI 1205378437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460419200000",
"number": "1114381555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26593 AZALEA ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553526",
"telephone_number": "909-565-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26593 AZALEA ST",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925553526",
"telephone_number": "909-565-8384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTAR HOME VISIT PROVIDERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A",
"authorized_official_last_name": "SALCEDO",
"authorized_official_first_name": "MARIA VICTORIA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-565-8384",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.