Individual provider Active NPI

Salvador Delgado Trevino, PHD

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1508927179
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY25108 Issued in CA
Practice address
5276 Hollister Avenue
Suite 356
Santa Barbara, CA 93111
Phone
(805) 698-0696
Fax
(805) 683-4964
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC21937 CA
Marriage & Family Therapist 106H00000X LMFT21937 CA
Psychologist 103T00000X PSY25108 CA Primary

Addresses

Primary practice location

5276 Hollister Avenue
Suite 356
Santa Barbara, CA 93111

Mailing address

5276 Hollister Avenue
Suite 356
Santa Barbara, CA 93111
Phone (805) 698-0696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY25108CAMDPsychologist
LMFT21937CAMDMarriage & Family Therapist
MFC21937CAMDMarriage & Family Therapist
25108CAMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1508927179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5276 HOLLISTER AVENUE",
            "address_2": "SUITE 356",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93111",
            "telephone_number": "805-698-0696",
            "fax_number": "805-683-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5276 HOLLISTER AVENUE",
            "address_2": "SUITE 356",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93111",
            "telephone_number": "805-698-0696",
            "fax_number": "805-683-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "SALVADOR",
        "middle_name": "DELGADO",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC21937",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT21937",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.