Organization Active NPI

Robert G. Salazar M.D. Inc

  • Interventional Pain Medicine Physician
  • Fresno, CA
National Provider Identifier
1437366622
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ROBERT G. SALAZAR M.D. INC
Practice address
7152 N Sharon Ave
102
Fresno, CA 93720-3361
Phone
(559) 432-6807
Fax
(559) 432-6937
NPI assigned
May 17, 2007
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Lillie Arroyo
Title
Practice Administrator
Phone
(559) 436-3495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

7152 N Sharon Ave
102
Fresno, CA 93720-3361

Mailing address

PO Box 3506
Pinedale, CA 93650-3506
Phone (559) 432-6807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000490 CA Part B Supplier - Clinic/Group Practice 0042307589 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1437366622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "PINEDALE",
            "state": "CA",
            "postal_code": "936503506",
            "telephone_number": "559-432-6807",
            "fax_number": "559-432-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7152 N SHARON AVE",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203361",
            "telephone_number": "559-432-6807",
            "fax_number": "559-432-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. SALAZAR M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "ARROYO",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "559-436-3495"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.