Individual provider Active NPI

Julian Benedict Salido, IDHS

  • Independent Duty Medical Technicians
  • Cape Canaveral, FL
National Provider Identifier
1780482596
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
9235 Grouper Rd
Cape Canaveral, FL 32920-4402
Phone
(321) 868-4228
NPI assigned
Mar 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X CA Primary

Addresses

Primary practice location

9235 Grouper Rd
Cape Canaveral, FL 32920-4402

Mailing address

9235 Grouper Rd
Cape Canaveral, FL 32920-4402
Phone (321) 868-4228

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

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1780482596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 GROUPER RD",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329204402",
            "telephone_number": "321-868-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 GROUPER RD",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329204402",
            "telephone_number": "321-868-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIDO",
        "first_name": "JULIAN",
        "middle_name": "BENEDICT",
        "credential": "IDHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Canaveral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.