Raymond Salas, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN218279 Issued in CA

Practice address

12330 Redbud Rd
Desert Hot Springs, CA 92240-4336

Phone

(562) 480-8780

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1316330731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 REDBUD RD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922404336",
            "telephone_number": "562-480-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 REDBUD RD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922404336",
            "telephone_number": "562-480-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "RAYMOND",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN218279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164X00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Carl Russ, M.D.
• Sacremento Theological Seminary and Bible College
• Sara Saez
• Maged Ragaie Aziz Salama
• David Frank Salas Jr., PT DPT CSCS
• Monica M. Salcedo
• Jose Saldana
• Chris Salinas
• Michael Allan Salvanera, DPT
• San Cross Medical

• Licensed Vocational Nurse in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.