Organization Active NPI

Victor H. Salazar-Calderon, M.D., PC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1609832146
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
18139 Issued in AZ
Legal business name
VICTOR H. SALAZAR-CALDERON, M.D., PC
Practice address
515 W Buckeye Rd
Ste 208
Phoenix, AZ 85003-2647
Phone
(602) 258-3305
Fax
(602) 257-4485
NPI assigned
Apr 24, 2006
Last updated
Feb 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Victor H Salazar-Calderon, M.D.NPI 1508822974
Title
Physician/Owner
Phone
(602) 258-3305

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
Neurology Physician 2084N0400X 18139 AZ Primary

Addresses

Primary practice location

515 W Buckeye Rd
Ste 208
Phoenix, AZ 85003-2647

Mailing address

515 W Buckeye Rd
Ste 208
Phoenix, AZ 85003-2647
Phone (602) 258-3305

Other identifiers 1

IdentifierTypeStateIssuer
411075MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000698 AZ Part B Supplier - Clinic/Group Practice 0840371373 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1609832146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD",
            "address_2": "STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032647",
            "telephone_number": "602-258-3305",
            "fax_number": "602-257-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD",
            "address_2": "STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032647",
            "telephone_number": "602-258-3305",
            "fax_number": "602-257-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR H. SALAZAR-CALDERON, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "SALAZAR-CALDERON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "602-258-3305",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "18139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411075",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.