Victor Silva-Palacios, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14198 Issued in CA

Practice address

3220 S Higuera St
Suite 210
San Luis Obispo, CA 93401-6987

Phone

(805) 801-7590

Fax

(805) 528-1266

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 28, 2014 through Aug 28, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23821/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1376595579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934430756",
            "telephone_number": "805-801-7590",
            "fax_number": "805-528-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 S HIGUERA ST",
            "address_2": "SUITE 210",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016987",
            "telephone_number": "805-801-7590",
            "fax_number": "805-528-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA-PALACIOS",
        "first_name": "VICTOR",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Vista Hospital, Inc.
• Sierra Vista Medical Pavilion Ambulatory Surgery Suite
• Kahlua Sievert
• Monique N Sigler
• Alexa Renee Signore
• Olivia Marie Silva, B.A. PSYCHOLOGY
• Scott Silveira
• Silver Family Practice, Inc.
• Randall M Silver, D.O.
• Megan Elizabeth Simonich

• Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.