Roderick Salvador

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT29278 Issued in CA

Practice address

840 N Avenue 66
Los Angeles, CA 90042-1508

Phone

(626) 395-7100

NPI assigned

Jun 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1689056392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 FRANCE AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422843",
            "telephone_number": "818-454-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N AVENUE 66",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421508",
            "telephone_number": "626-395-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5335 Craner Ave",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916013313",
            "country_code": "US",
            "telephone_number": "818-927-4045",
            "fax_number": "818-927-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "RODERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT29278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Carla Lagman Salvador, NP
• Anthony Salvador
• Jonathan Salvador
• Miriam A Salvador, M.D.
• Noah Salvador
• Stephanie Salvador
• Mina Salvati
• Araseli Salvatierra
• Shannon Adele Salveson, ACNP
• Amanda Salvestrini, MS, RD

• Licensed Psychiatric Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.