Active NPI
Rockford A Salbato, PA-C, MPAS, BS
- Medical Physician Assistant
- Dyess Afb, TX
National Provider Identifier
1780123422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MILITARYWAIVER
- Practice address
- 697 Louisiana Rd
Dyess Afb, TX 79607-1141 - Phone
- (530) 777-1255
- NPI assigned
- Feb 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MILITARYWAIVER | Primary |
Addresses
Primary practice location
697 Louisiana Rd
Dyess Afb, TX 79607-1141
Mailing address
697 Louisiana Rd
Dyess Afb, TX 79607-1141
Phone (530) 777-1255
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rockford.salbato@us.af.mil | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191107002281 | UT | Order and Referring Only - Physician Assistant | 8729410089 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1780123422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 LOUISIANA RD",
"city": "DYESS AFB",
"state": "TX",
"postal_code": "796071141",
"telephone_number": "530-777-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 LOUISIANA RD",
"city": "DYESS AFB",
"state": "TX",
"postal_code": "796071141",
"telephone_number": "530-777-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALBATO",
"first_name": "ROCKFORD",
"middle_name": "A",
"credential": "PA-C, MPAS, BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-14",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": "MILITARYWAIVER",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rockford.salbato@us.af.mil",
"affiliation": "N",
"endpointDescription": "Gov email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Military secured email not for patient use",
"address_1": "697 Louisiana Rd",
"city": "Dyess AFB",
"state": "TX",
"country_code": "US",
"postal_code": "796071141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dyess Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.