Fareed Salahuddin, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

704853 Issued in CA

Practice address

2770 Creekside Village SQ
San Diego, CA 92154-3366

Phone

(619) 386-9677

NPI assigned

Mar 31, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Posterity a Safe Place Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1720872591
  NPD Authorized official

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1831992411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CREEKSIDE VILLAGE SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543366",
            "telephone_number": "619-386-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CREEKSIDE VILLAGE SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543366",
            "telephone_number": "619-386-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAHUDDIN",
        "first_name": "FAREED",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "704853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlynn Sakurai, D.P.T
• Ruriko Kusumoto Sakurauchi, OD
• Namrata Sakya, DACM, LAC
• Joanne Sala-Disesa, PSYD
• Cheyanne Nicole Saladino
• Aileen Cortez Salalila, FNP-C
• Mohammad Salamah
• Danielle Marie Salameh, PA
• George Yousef Salameh, M.D.
• Salami Nuclear Cardiology Medical Group Inc

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.