Organization Active NPI

Salosaa LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1720653934
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SALOSAA LLC
Practice address
5060 N 19TH Ave Ste 411
Phoenix, AZ 85015-3214
Phone
(480) 468-1796
NPI assigned
May 21, 2021
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Jessica Owens
Title
Owner
Phone
(480) 468-1796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5060 N 19TH Ave Ste 411
Phoenix, AZ 85015-3214

Mailing address

11835 N 19TH Ave
Phoenix, AZ 85029-3523

National Provider Directory

National Provider Directory

Locations

11835 N 19th Ave
Phoenix, AZ 85029

5060 N 19th Ave
Ste 411
Phoenix, AZ 85015
Phone (480) 468-1796

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1720653934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153214",
            "telephone_number": "480-468-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALOSAA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-468-1796"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.