Individual provider Active NPI

Rockford A Salbato, PA-C, MPAS, BS

  • Medical Physician Assistant
  • Dyess Afb, TX
National Provider Identifier
1780123422
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.