Active NPI
J. Raul Salas, M.D., Inc
- Clinical Medical Laboratory
- Porterville, CA
National Provider Identifier
1568613107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- LAB58497H
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A38943 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- J Raul Salas MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics Physician
- Porterville, CA
- NPI 1437273729
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Lindsay, CA
- NPI 1427062157
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.