Active NPI
Salustiano Ribeiro
- Phlebotomy Technician
- San Francisco, CA
National Provider Identifier
1609351212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 16176
- Practice address
- 50 Jerrold Ave Apt 311
San Francisco, CA 94124-3045 - Phone
- (510) 910-2296
- NPI assigned
- Sep 28, 2018
- Last updated
- Jan 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 16176 | CA | Primary |
Addresses
Primary practice location
50 Jerrold Ave Apt 311
San Francisco, CA 94124-3045
Mailing address
50 Jerrold Ave Apt 311
San Francisco, CA 94124-3045
Phone (510) 910-2296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16176 | Other | CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CERTIFIED PHLEBOTOMIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16176 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renegadexbio, PBC | Current | Accepting new patients | |
| Bay Area PL Services | Current | Accepting new patients | |
| Bay Area PL Services | Phlebotomy | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- San Bruno, CA
- NPI 1932858628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1609351212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 JERROLD AVE APT 311",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941243045",
"telephone_number": "510-910-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 JERROLD AVE APT 311",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941243045",
"telephone_number": "510-910-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBEIRO",
"first_name": "SALUSTIANO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "16176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH, CERTIFIED PHLEBOTOMIST",
"identifier": "16176",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.