Organization Active NPI

Salud Optima Medical Clinic

  • Clinic/Center
  • Hemet, CA
National Provider Identifier
1467645077
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G554810 Issued in CA
Legal business name
SALUD OPTIMA MEDICAL CLINIC
Practice address
1031 E Latham Ave Ste 1
Hemet, CA 92543-4425
Phone
(951) 306-9888
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Ms. Martha Izvernari, NURSE PRACTITIONER
Title
Founder
Phone
(951) 306-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G554810 CA Primary

Addresses

Primary practice location

1031 E Latham Ave Ste 1
Hemet, CA 92543-4425

Mailing address

1031 E Latham Ave Ste 1
Hemet, CA 92543-4425
Phone (951) 306-9888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1467645077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E LATHAM AVE STE 1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434425",
            "telephone_number": "951-306-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E LATHAM AVE STE 1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434425",
            "telephone_number": "951-306-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD OPTIMA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "IZVERNARI",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "951-306-9888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G554810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.