Individual provider Active NPI

Salvador M Liendo Jr.

  • Community Health Worker
  • Santa Maria, CA
National Provider Identifier
1669295861
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
124 Carmen LN Ste a
Santa Maria, CA 93458-7768
Phone
(805) 348-1850
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

124 Carmen LN Ste a
Santa Maria, CA 93458-7768

Mailing address

124 Carmen LN
Santa Maria, CA 93458-7768
Phone (805) 348-1850

Other identifiers 1

IdentifierTypeStateIssuer
1689762486OtherTELECARE MCMILLAN RANCH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation PastSince Nov 10, 2024 Accepting new patients
Telecare PastSince Nov 10, 2024 Accepting new patients
Santa Barbara County Auditor PastSince Nov 10, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1669295861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587768",
            "telephone_number": "805-348-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CARMEN LN STE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587768",
            "telephone_number": "805-348-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIENDO",
        "first_name": "SALVADOR",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE MCMILLAN RANCH",
            "identifier": "1689762486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.