Active NPI
Natalie Renee Saldivar, DMD
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1659747061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS105607
- Practice address
- 10405 Tierrasanta Blvd
San Diego, CA 92124-2603 - Phone
- (858) 492-9300
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D-4691 | ID | |
| General Practice Dentistry | 1223G0001X | DDS105607 | CA | Primary |
Addresses
Primary practice location
10405 Tierrasanta Blvd
San Diego, CA 92124-2603
Mailing address
6905 Turnbridge Way
San Diego, CA 92119-2133
Phone (208) 308-5985
Other practice location 1
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (208) 308-5985
Other names 1
- Natalie Renee Hanson
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-4691 | ID | MD | Dentist |
| DDS105607 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego American Indian Health Center | Dentist | Current | Accepting new patients |
| Afshar and Habashi Dental Corporation | General Practice | Past | Accepting new patients |
Locations
2602 1st Ave
Ste 105
San Diego, CA 92103
2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IFGCCD
Organizations & group practices 2
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.
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- NPI 1003902917
Dentist
-
- General Practice Dentistry
- San Diego, CA
- NPI 1033217526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1659747061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6905 TURNBRIDGE WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192133",
"telephone_number": "208-308-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10405 TIERRASANTA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921242603",
"telephone_number": "858-492-9300"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921341098",
"country_code": "US",
"telephone_number": "208-308-5985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALDIVAR",
"first_name": "NATALIE",
"middle_name": "RENEE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ID",
"license": "D-4691",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS105607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "HANSON",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.