Active NPI
Jessie A Salazar, MD
- Family Medicine Physician
- Hobbs, NM
National Provider Identifier
1841473071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD20080080
- Practice address
- 200 W Lea St
Hobbs, NM 88240-5110 - Phone
- (575) 391-0270
- Fax
- (575) 391-0271
- NPI assigned
- Dec 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A102245 | CA | |
| Family Medicine Physician | 207Q00000X | MD20080080 | NM | Primary |
Addresses
Primary practice location
200 W Lea St
Hobbs, NM 88240-5110
Mailing address
911 Sunset Dr
Hollister, CA 95023-5606
Phone (831) 636-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102245 | CA | MD | Mental Health Counselor |
| A102245 | CA | MD | Family Medicine Physician |
| MD20080080 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Emergency Medical Associates of NM PC | Current | Accepting new patients | |
| New Mexico Em-1 Medical Services, P.C. | Past | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Past | Accepting new patients |
Locations
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
900 W Ash St
Deming, NM 88030
Phone (505) 546-2761
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
-
- Emergency Medicine Physician
- Hollister, CA
- NPI 1033501168
-
- Emergency Medicine Physician
- Lovington, NM
- NPI 1265878359
-
- Federal Public Health Clinic/Center
- Leupp, AZ
- NPI 1760652580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1841473071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 SUNSET DR",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235606",
"telephone_number": "831-636-2640",
"fax_number": "831-636-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W LEA ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882405110",
"telephone_number": "575-391-0270",
"fax_number": "575-391-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "JESSIE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A102245",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD20080080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.