Individual provider Active NPI

Salvatore Fratianni, DO

  • Family Medicine Physician
  • Aptos, CA
National Provider Identifier
1649330101
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6704 Issued in CA
Practice address
245 Searidge Rd
Aptos, CA 95003
Phone
(831) 689-9600
Fax
(831) 689-9663
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6704 CA Primary

Addresses

Primary practice location

245 Searidge Rd
Aptos, CA 95003

Mailing address

245 Searidge Rd
Aptos, CA 95003
Phone (831) 689-9600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000679 CA Practitioner - Family Practice 0042477051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6704CAMDAddiction (Substance Use Disorder) Counselor
20A6704CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salvatore Fratianni D.O. a Medical Corporation CurrentSince Jan 10, 2012 Accepting new patients
Salvatore Fratianni D O-a Medical Corporation Family Medicine Past Accepting new patients
Monterey Peninsula Orthopedic & Sports Medicine Institute PastSince May 1, 2015 Accepting new patients

Locations

245 Sea Ridge Rd
Aptos, CA 95003
Phone (831) 689-9600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1649330101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SEARIDGE RD",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-689-9600",
            "fax_number": "831-689-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SEARIDGE RD",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-689-9600",
            "fax_number": "831-689-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATIANNI",
        "first_name": "SALVATORE",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

Verify at the official NPI Registry.