Organization Active NPI

J. Raul Salas, M.D., Inc

  • Clinical Medical Laboratory
  • Porterville, CA
National Provider Identifier
1568613107
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
LAB58497H Issued in CA
Legal business name
J. RAUL SALAS, M.D., INC
Practice address
575 W Putnam Ave
Porterville, CA 93257-3270
Phone
(559) 784-6878
Fax
(559) 784-1592
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Dr. Jose Raul Salas Sr., M.D.NPI 1427062157
Title
President
Phone
(559) 310-8729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X LAB58497H CA Primary

Addresses

Primary practice location

575 W Putnam Ave
Porterville, CA 93257-3270

Mailing address

667 W Belleview Ave
Porterville, CA 93257-2176
Phone (559) 310-8729

Other identifiers 1

IdentifierTypeStateIssuer
A38943MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
J Raul Salas MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1568613107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 W BELLEVIEW AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932572176",
            "telephone_number": "559-310-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573270",
            "telephone_number": "559-784-6878",
            "fax_number": "559-784-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RAUL SALAS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-310-8729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "LAB58497H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A38943",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.