Sayyed Khalis Salim

Key facts

NPI

1275855512

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Vocational Nurse 164X00000X

License

239417 (CA)

Practice address

170 S Burton St
Nipomo, CA 93444-5324

Phone

(805) 904-8636

NPI assigned

Feb 26, 2010

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2010.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1275855512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S BURTON ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445324",
            "telephone_number": "805-904-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S BURTON ST",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934445324",
            "telephone_number": "805-904-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIM",
        "first_name": "SAYYED",
        "middle_name": "KHALIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "239417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nipomo, CA

• Katherine Retzer
• David J Richard, N.D.
• Jillianne Russi Ruppert, PA
• Miriam Salamanca
• Jennifer Mary Sale, LCSW
• Kerri Marie Schofield, ASW
• Natalia V Schwartz, MD
• Frank Eugene Scott Jr., D.O.
• Denise B. Seastrunk, CNS
• Laurice A. Seely, MS, BCBA

All providers in Nipomo, CA · Licensed Vocational Nurse in California