Individual provider Active NPI

Mark Terence Estrada Salamat

  • Nurse's Aide
  • Glendale, AZ
National Provider Identifier
1578428603
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
332533 Issued in AZ
Practice address
8760 W Flynn LN
Glendale, AZ 85305-3406
Phone
(818) 462-1842
NPI assigned
Dec 20, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 332533 AZ Primary

Addresses

Primary practice location

8760 W Flynn LN
Glendale, AZ 85305-3406

Mailing address

8760 W Flynn LN
Glendale, AZ 85305-3406

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
332533AZMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1578428603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 W FLYNN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 W FLYNN LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053406",
            "telephone_number": "818-462-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAT",
        "first_name": "MARK TERENCE",
        "middle_name": "ESTRADA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "332533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.