Active NPI
Claudia Lorena Salcido, PA-C
- Physician Assistant
- Cathedral City, CA
National Provider Identifier
1821357955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 22110
- Practice address
- 31755 Date Palm Dr Ste M
Cathedral City, CA 92234-3101 - Phone
- (760) 770-3399
- Fax
- (760) 770-3366
- NPI assigned
- May 9, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22110 | CA | Primary |
Addresses
Primary practice location
31755 Date Palm Dr Ste M
Cathedral City, CA 92234-3101
Mailing address
124 E Olive Ave
Redlands, CA 92373-5250
Phone (909) 798-9403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology & Cosmetics Laser Care a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Corona, CA
- NPI 1740410182
-
- Specialist
- Valencia, CA
- NPI 1912026097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1821357955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E OLIVE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735250",
"telephone_number": "909-798-9403",
"fax_number": "909-335-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31755 DATE PALM DR STE M",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922343101",
"telephone_number": "760-770-3399",
"fax_number": "760-770-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCIDO",
"first_name": "CLAUDIA",
"middle_name": "LORENA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "22110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.