Individual provider Active NPI

Nicole Collado Dela Cruz Salgado, NP

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1487480877
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029669 Issued in CA
Practice address
11480 Brookshire Ave Ste 200
Downey, CA 90241-5021
Phone
(562) 806-0874
Fax
(562) 927-4801
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029669 CA Primary

Addresses

Primary practice location

11480 Brookshire Ave Ste 200
Downey, CA 90241-5021

Mailing address

11480 Brookshire Ave Ste 200
Downey, CA 90241-5021

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116003329 CA Practitioner - Nurse Practitioner 3476081530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frischer Medical Group IncGroup PAC ID 8628016532, 4 clinicians

Practice addresses (Care Compare)

11480 Brookshire Ave
Suite 200
Downey, CA 90241-5021
Phone (562) 806-0874

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029669CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frischer Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

11480 Brookshire Ave
Ste 200
Downey, CA 90241
Phone (562) 528-9792

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1487480877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 200",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 200",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415021",
            "telephone_number": "562-806-0874",
            "fax_number": "562-927-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "NICOLE",
        "middle_name": "COLLADO DELA CRUZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.