Individual provider Active NPI

Cole Salles

  • Peer Specialist
  • Morgan Hill, CA
National Provider Identifier
1285235085
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-YJHIER Issued in CA
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

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MPSS-YJHIERCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics Case Manager/Care Coordinator CurrentSince May 14, 2023 Accepting new patients
Pacific Clinics Case Manager/Care Coordinator PastSince May 14, 2023 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.

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.

Verify at the official NPI Registry.