Individual provider Active NPI

Elia Marie Saleh-Werthman, NP

  • Registered Nurse
  • San Jose, CA
National Provider Identifier
1356527485
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
661651 Issued in CA
Practice address
5671 Santa Teresa Blvd #105
San Jose, CA 95123
Phone
(408) 284-2280
Fax
(408) 754-0450
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 661651 CA Primary
Family Nurse Practitioner 363LF0000X NP 17625 CA

Addresses

Primary practice location

5671 Santa Teresa Blvd #105
San Jose, CA 95123

Mailing address

5671 Santa Teresa Blvd #105
San Jose, CA 95123
Phone (408) 284-2280

Other names 1

  • Ms. Elia Marie Saleh Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140627001574 CA Practitioner - Nurse Practitioner 8921223389 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17625CAMDClinical Psychologist
NP 17625CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nightingale Clinical Care, PC CurrentSince Jun 6, 2022 Accepting new patients

Locations

902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491

510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294

11690 San Pablo Ave
El Cerrito, CA 94530

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494

320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973

212 S Richmond Rd
Ridgecrest, CA 93555
Phone (559) 432-5278

3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506

9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171

555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370

30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549

Organizations & group practices 1

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1356527485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD #105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-284-2280",
            "fax_number": "408-754-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD #105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-284-2280",
            "fax_number": "408-754-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH-WERTHMAN",
        "first_name": "ELIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "661651",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 17625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIA",
            "last_name": "SALEH",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.