Individual provider Active NPI

Betty V Saldarriaga, DDS

  • General Practice Dentistry
  • Visalia, CA
National Provider Identifier
1467645713
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56231 Issued in CA
Practice address
2626 S Mooney Blvd
Ste. a
Visalia, CA 93277-6203
Phone
(559) 733-1250
Fax
(559) 636-2061
NPI assigned
Aug 21, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56231 CA Primary

Addresses

Primary practice location

2626 S Mooney Blvd
Ste. a
Visalia, CA 93277-6203

Mailing address

2626 S Mooney Blvd
Ste. a
Visalia, CA 93277-6203
Phone (559) 733-1250

Other names 1

  • Betty Victoria Archila Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002057 CA Practitioner - Dentist 5799081303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56231CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Nov 23, 2021 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Nov 23, 2021 Accepting new patients
Family Healthcare Network Current Accepting new patients
Richard W. Barnes D.D.S., Inc. General Practice Past Accepting new patients

Locations

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 9

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1467645713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S MOONEY BLVD",
            "address_2": "STE. A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776203",
            "telephone_number": "559-733-1250",
            "fax_number": "559-636-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S MOONEY BLVD",
            "address_2": "STE. A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776203",
            "telephone_number": "559-733-1250",
            "fax_number": "559-636-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDARRIAGA",
        "first_name": "BETTY",
        "middle_name": "V",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTY",
            "last_name": "ARCHILA",
            "middle_name": "VICTORIA",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.