Individual provider Active NPI

William Salvatore, MFT

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1346440005
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC19135 Issued in CA
Practice address
23110 Atlantic Cir
Suite B
Moreno Valley, CA 92553-5920
Phone
(951) 243-6455
Fax
(951) 243-0207
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC19135 CA Primary

Addresses

Primary practice location

23110 Atlantic Cir
Suite B
Moreno Valley, CA 92553-5920

Mailing address

PO Box 8160
Redlands, CA 92375-1360
Phone (909) 792-1497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522001964 CA Practitioner - Marriage and Family Therapist 0042652042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23100 Eucalyptus Ave
Suite D
Moreno Valley, CA 92553-5439
Phone (951) 243-6455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19135CAMDCounselor
MFC19135CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Marriage & Family Therapist CurrentSince Apr 22, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Marriage & Family Therapist CurrentSince Apr 22, 2024 Accepting new patients
Inland Psychiatric Medical Group, Inc. Marriage & Family Therapist Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Marriage & Family Therapist PastSince Apr 6, 2025 Accepting new patients

Locations

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1346440005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8160",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923751360",
            "telephone_number": "909-792-1497",
            "fax_number": "909-798-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-243-6455",
            "fax_number": "951-243-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.