Individual provider Active NPI

Claudia Lorena Salcido, PA-C

  • Physician Assistant
  • Cathedral City, CA
National Provider Identifier
1821357955
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
22110 Issued in CA
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

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414001171 CA Practitioner - Physician Assistant 1759609282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.