Active NPI
Cole Salles
- Peer Specialist
- Morgan Hill, CA
National Provider Identifier
1285235085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-YJHIER
- Practice address
- 17060 Monterey Rd
Morgan Hill, CA 95037-3636 - Phone
- (408) 500-8575
- NPI assigned
- Nov 6, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | MPSS-YJHIER | CA | Primary |
Addresses
Primary practice location
17060 Monterey Rd
Morgan Hill, CA 95037-3636
Mailing address
17060 Monterey Rd
Morgan Hill, CA 95037-3636
Phone (408) 500-8575
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 |
|---|---|---|---|
| MPSS-YJHIER | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Case Manager/Care Coordinator | Current | Accepting new patients |
| Pacific Clinics | Case Manager/Care Coordinator | Past | Accepting new patients |
Locations
251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083
17060 Monterey St
Morgan Hill, CA 95037
Phone (408) 335-1810
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Morgan Hill, CA
- NPI 1932851896
Case Manager/Care Coordinator
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1336458934
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1285235085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17060 MONTEREY RD",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373636",
"telephone_number": "408-500-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17060 MONTEREY RD",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373636",
"telephone_number": "408-500-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLES",
"first_name": "COLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-06",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-YJHIER",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.