Mary Jane Nerona Salo, MSN,FNP,PHD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95009182 Issued in CA

Practice address

100 W American Canyon Rd Ste K6
American Canyon, CA 94503-4195

Phone

(707) 567-7940

NPI assigned

Nov 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Jane Camarillo Nerona Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noel Serrano MD PCGroup PAC ID 6800246893, 8 clinicians

Gurpreet S Dhugga Medical CorporationGroup PAC ID 0840339107, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Gurpreet S. Dhugga Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1053649376

  CA

  Medicare reassignment Care Compare group NPD
• Noel Serrano MD PC

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1154010072

  CA, Family

  Medicare reassignment Care Compare group NPD
• California Wound & Hyperbaric Specialists Inc

  • Wound Care Registered Nurse
  • Pleasant Hill, CA
  • NPI 1144105206

  CA

  Medicare reassignment NPD
• SNF Specialists Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1497265565

  CA

  Medicare reassignment NPD
• Delmarva Pain & Spine Center, LLC

  • Pain Medicine Physician
  • Newark, DE
  • NPI 1750810305
  NPD
• A.V.C.H., Inc.

  • Skilled Nursing Facility
  • Sebastopol, CA
  • NPI 1114902616
  NPD (past)

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1174092902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 CAMBRIDGE CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918593",
            "telephone_number": "707-567-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W AMERICAN CANYON RD STE K6",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034195",
            "telephone_number": "707-567-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALO",
        "first_name": "MARY JANE",
        "middle_name": "NERONA",
        "credential": "MSN,FNP,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-22",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JANE",
            "last_name": "NERONA",
            "middle_name": "CAMARILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victor Rubio
• Yasmine Marie Rubio
• Ryan Stilson Chiropractic Inc
• Safeway Inc
• Adriana Salcedo
• Navjot Kaur Samra, PHARMD
• Loretta Anne Schamberger, CCC-SLP
• Kristina Schlechter
• Cory Schlobohm, PHARMD
• Sencare Inc

• All providers in American Canyon, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.