Active NPI
Naomi Salvatierra Kruger, RN-BC
- Psychiatric/Mental Health Registered Nurse
- San Diego, CA
National Provider Identifier
1225754930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95278400
- Practice address
- 1250 Morena Blvd
San Diego, CA 92110-3815 - Phone
- (603) 978-0906
- NPI assigned
- Oct 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95278400 | CA | Primary |
Addresses
Primary practice location
1250 Morena Blvd
San Diego, CA 92110-3815
Mailing address
12549 El Camino Real Unit a
San Diego, CA 92130-4056
Phone (603) 978-0906
Other practice location 1
12549 El Camino Real Unit A
San Diego, CA 92130-4056
Phone (603) 978-0906
Other names 1
- Naomi Manalo Salvatierra
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 |
|---|---|---|---|
| 95278400 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1225754930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12549 EL CAMINO REAL UNIT A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921304056",
"telephone_number": "603-978-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 MORENA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103815",
"telephone_number": "603-978-0906"
}
],
"practiceLocations": [
{
"address_1": "12549 El Camino Real Unit A",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921304056",
"country_code": "US",
"telephone_number": "603-978-0906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUGER",
"first_name": "NAOMI",
"middle_name": "SALVATIERRA",
"credential": "RN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95278400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAOMI",
"last_name": "SALVATIERRA",
"middle_name": "MANALO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.