Active NPI
Genesey Salcedo
- Speech-Language Assistant
- San Jacinto, CA
National Provider Identifier
1417823907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SPA9069
- Practice address
- 500 S State St Ste 213
San Jacinto, CA 92583-4032 - Phone
- (951) 410-0679
- NPI assigned
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SPA9069 | CA | Primary |
Addresses
Primary practice location
500 S State St Ste 213
San Jacinto, CA 92583-4032
Mailing address
7624 Tamarindo Dr
Hemet, CA 92545-9170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPA9069 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1417823907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7624 TAMARINDO DR",
"city": "HEMET",
"state": "CA",
"postal_code": "925459170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S STATE ST STE 213",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834032",
"telephone_number": "951-410-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCEDO",
"first_name": "GENESEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "SPA9069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.