Active NPI
Maria Jessie Salas
- Case Manager/Care Coordinator
- San Pedro, CA
National Provider Identifier
1225307895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1294 W 6TH St FL 2
San Pedro, CA 90731-2987 - Phone
- (310) 519-6100
- NPI assigned
- Dec 27, 2011
- Last updated
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RT1418371225 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1294 W 6TH St FL 2
San Pedro, CA 90731-2987
Mailing address
28364 S Western Ave # 480
Rancho Palos Verdes, CA 90275-1434
Phone (310) 344-5227
Other practice location 1
505 S Pacific Ave
San Pedro, CA 90731-2656
Phone (310) 519-8723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT1418371225 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1225307895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28364 S WESTERN AVE # 480",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902751434",
"telephone_number": "310-344-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1294 W 6TH ST FL 2",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312987",
"telephone_number": "310-519-6100"
}
],
"practiceLocations": [
{
"address_1": "505 S Pacific Ave",
"address_purpose": "LOCATION",
"city": "San Pedro",
"state": "CA",
"postal_code": "907312656",
"country_code": "US",
"telephone_number": "310-519-8723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAS",
"first_name": "MARIA",
"middle_name": "JESSIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RT1418371225",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
- Nina Sabet-Peyman, M.D.
- Saeed Malekafzali, MD, Inc.
- Sage House Adult Day Care Center
- Sahawneh Dental Corporation (Bright Now Dental - San Pedro)
- Sahawneh Dental Corporation (Bright Now Dental San Pedro)
- Teresa Saldana
- Dafne Ileana Salgado Jovel
- Ma Christina Salgado-Cortez
- Amber Rochelle Salvador
- Samuel K Wirtschafter MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.