Individual provider Active NPI

Salome Sumilang Dineros, PSY.D.

  • Contractor
  • San Francisco, CA
National Provider Identifier
1700935871
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
PSY18683 Issued in CA
Practice address
1801 Bush St Ste 300
San Francisco, CA 94109-5272
Phone
(415) 346-2255
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY18683 CA
Contractor 171W00000X PSY18683 CA Primary

Addresses

Primary practice location

1801 Bush St Ste 300
San Francisco, CA 94109-5272

Mailing address

999 Sutter St
San Francisco, CA 94109-6023
Phone (415) 518-4850

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

State licenses

LicenseStateTypeSpecialty
PSY18683CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Center Psychotherapy Services of San Francisco CurrentSince Jul 16, 2023 Accepting new patients
Pacific Coast Psychiatric Associates Inc Past Accepting new patients

Locations

1801 Bush St
Ste 300
San Francisco, CA 94109
Phone (415) 346-2255

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1700935871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096023",
            "telephone_number": "415-518-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095272",
            "telephone_number": "415-346-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINEROS",
        "first_name": "SALOME",
        "middle_name": "SUMILANG",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18683",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "PSY18683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.