Individual provider Active NPI

Salvador Terrones, P.A-C.

  • Physician Assistant
  • Montebello, CA
National Provider Identifier
1619183209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14092 Issued in CA
Practice address
526 N Montebello Blvd
Montebello, CA 90640-3630
Phone
(323) 726-1109
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14092 CA Primary

Addresses

Primary practice location

526 N Montebello Blvd
Montebello, CA 90640-3630

Mailing address

526 N. Montebello Blvd.
Montebello, CA 90640
Phone (323) 726-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121206000567 CA Practitioner - Physician Assistant 0840442398 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14092CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Apr 1, 2020 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Dec 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Apr 1, 2020 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

Interoperability endpoints

  • Direct secure messaging: salvador.terrones.1@30857.direct.athenahealth.com
  • Direct secure messaging: salvador.terrones.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619183209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N. MONTEBELLO BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-726-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403630",
            "telephone_number": "323-726-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRONES",
        "first_name": "SALVADOR",
        "name_prefix": "Mr.",
        "credential": "P.A-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.