Active NPI
Belayneh Addis Salilew
- Rehabilitation Practitioner
- San Jose, CA
National Provider Identifier
1689388654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 438 N White Rd
San Jose, CA 95127-1439 - Phone
- (669) 265-9112
- NPI assigned
- Jan 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
438 N White Rd
San Jose, CA 95127-1439
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Phone (408) 261-7777
Other practice location 1
96 S 14th St
San Jose, CA 95112-2015
Phone (408) 998-3293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508083205 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | ||
| Other URL | NA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1689388654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 THE ALAMEDA STE 316",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261461",
"telephone_number": "408-261-7777",
"fax_number": "408-642-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 N WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951271439",
"telephone_number": "669-265-9112"
}
],
"practiceLocations": [
{
"address_1": "96 S 14th St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951122015",
"country_code": "US",
"telephone_number": "408-998-3293",
"fax_number": "408-642-6052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALILEW",
"first_name": "BELAYNEH",
"middle_name": "ADDIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-13",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508083205",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "438 N White Rd",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951271439",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "438 N White Rd",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951271439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.