Active NPI
Jacquelyn H Salas, MD
- Emergency Medicine Physician
- Truckee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G081548
- Practice address
- 10121 Pine Ave
Truckee, CA 96161 - Phone
- (530) 582-3220
- Fax
- (530) 271-1791
- NPI assigned
- May 25, 2007
- Last updated
- Dec 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G081548 | CA | Primary |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161
Mailing address
Box 805
Nevada City, CA 95959
Phone (530) 271-1791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SR0090630 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81548 | CA | MD | Pharmacist |
| G081548 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Emergency Medicine | Current | Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
| Southside Hospital | Past | Accepting new patients | |
| Mercy Hospital Springfield | Past | Accepting new patients | |
| The Finley Hospital | Emergency Medicine | Past | Accepting new patients |
| Covenant Medical Center | Past | Accepting new patients |
Locations
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
900 W Ash St
Deming, NM 88030
Phone (505) 546-2761
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
Interoperability endpoints
- jsalas559854@ahs.direct-ci.com
Organizations & group practices 8
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Emergency Medicine
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
- Rehabilitation Hospital Unit
- Bay Shore, NY
- NPI 1275541104
-
dba Unitypoint Health - Finley Hosptial
- General Acute Care Hospital
- Dubuque, IA
- NPI 1942392600
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1558572099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 805",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "95959",
"telephone_number": "530-271-1791",
"fax_number": "530-271-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "96161",
"telephone_number": "530-582-3220",
"fax_number": "530-271-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "JACQUELYN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G081548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SR0090630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.