Salient Medical Group, Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

A054704 Issued in CA

Legal business name

SALIENT MEDICAL GROUP, INC

Practice address

25020 Las Brisas Rd
#201
Murrieta, CA 92562-4064

Phone

(951) 200-4601

Fax

(951) 200-4605

NPI assigned

Jun 7, 2010

Last updated

Nov 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Zickafoose, MD

Title

Secretary

Phone

(951) 200-4601

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1770803256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25020 LAS BRISAS RD",
            "address_2": "#201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624064",
            "telephone_number": "951-200-4601",
            "fax_number": "951-200-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25020 LAS BRISAS RD",
            "address_2": "#201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624064",
            "telephone_number": "951-200-4601",
            "fax_number": "951-200-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIENT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "ZICKAFOOSE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-200-4601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A054704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.