Organization Active NPI

Tristar Home Visit Providers Inc

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1114381555
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21506 Issued in CA
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

Updated by the provider on Apr 12, 2016

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.