Organization Active NPI

Ernesto T. Salas, Medical Group, Inc.

  • Specialist
  • Temecula, CA
National Provider Identifier
1447495361
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A053434 Issued in CA
Legal business name
ERNESTO T. SALAS, MEDICAL GROUP, INC.
Practice address
27699 Jefferson Ave
Suite 311
Temecula, CA 92590-2661
Phone
(951) 693-1159
NPI assigned
Dec 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Marilyn G Salas
Title
Office Manager
Phone
(951) 693-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A053434 CA Primary

Addresses

Primary practice location

27699 Jefferson Ave
Suite 311
Temecula, CA 92590-2661

Mailing address

27699 Jefferson Ave
Suite 311
Temecula, CA 92590-2661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1447495361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE",
            "address_2": "SUITE 311",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE",
            "address_2": "SUITE 311",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902661",
            "telephone_number": "951-693-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO T. SALAS, MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-693-1159"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A053434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.