Active NPI
Dafne Ileana Salgado Jovel
- Professional Counselor
- San Pedro, CA
National Provider Identifier
1720708092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC15587
- Practice address
- 505 S Pacific Ave
San Pedro, CA 90731-2656 - Phone
- (310) 519-8723
- NPI assigned
- Aug 29, 2022
- Last updated
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC15587 | CA | Primary |
Addresses
Primary practice location
505 S Pacific Ave
San Pedro, CA 90731-2656
Mailing address
1022 Valencia St Apt a
Costa Mesa, CA 92626-5737
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
| License | State | Type | Specialty |
|---|---|---|---|
| APCC15587 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1720708092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 VALENCIA ST APT A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S PACIFIC AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312656",
"telephone_number": "310-519-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALGADO JOVEL",
"first_name": "DAFNE",
"middle_name": "ILEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC15587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
- Sage House Adult Day Care Center
- Sahawneh Dental Corporation (Bright Now Dental - San Pedro)
- Sahawneh Dental Corporation (Bright Now Dental San Pedro)
- Maria Jessie Salas
- Teresa Saldana
- Ma Christina Salgado-Cortez
- Amber Rochelle Salvador
- Samuel K Wirtschafter MD Inc
- Samuels Chiropractic Health Corporation
- Khaleed Samuels, D.C. C.C.S.P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.