Individual provider Active NPI

Diego De Jesus Salas

  • Physician Assistant
  • Vista, CA
National Provider Identifier
1386372654
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61829 Issued in CA
Practice address
969 S Santa Fe Ave Ste a
Vista, CA 92083-6910
Phone
(760) 941-7050
NPI assigned
Aug 12, 2022
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61829 CA Primary

Addresses

Primary practice location

969 S Santa Fe Ave Ste a
Vista, CA 92083-6910

Mailing address

18455 Idaleona Rd
Perris, CA 92570-9061
Phone (951) 722-5261

Other practice location 1

18455 Idaleona Rd
Perris, CA 92570-9061
Phone (951) 722-5261

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
I20230125003053 CA Practitioner - Physician Assistant 5698146843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Loma Linda University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Practice addresses (Care Compare)

5671 Balboa Ave
San Diego, CA 92111-2705
Phone (858) 800-2880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61829CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Jun 14, 2023 Accepting new patients
Southern California Emergency Medicine CurrentSince Jun 14, 2023 Accepting new patients
VF Alliance, a Medical Corporation CurrentSince Jun 15, 2025 Accepting new patients
Vista Family Health Center,a Medical Corporation PastSince Jun 15, 2025 Accepting new patients

Locations

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

969 S Santa Fe Ave
Ste A
Vista, CA 92083
Phone (760) 941-7050

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1386372654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18455 IDALEONA RD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925709061",
            "telephone_number": "951-722-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 S SANTA FE AVE STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836910",
            "telephone_number": "760-941-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18455 Idaleona Rd",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925709061",
            "country_code": "US",
            "telephone_number": "951-722-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAS",
        "first_name": "DIEGO",
        "middle_name": "DE JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.