Israel Sagrero-Salazar, SUDRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

25449 Issued in CA

Practice address

1314 Southgate Ave
Daly City, CA 94015-3937

Phone

(650) 244-1444

NPI assigned

Jul 23, 2026

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun

  dba Casa Lil Hawk

  • Children's Substance Abuse Rehabilitation Facility
  • Daly City, CA
  • NPI 1003622259
  NPD (past)

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1902727167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRUTON ST APT 1703",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941301675",
            "telephone_number": "503-932-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SOUTHGATE AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153937",
            "telephone_number": "650-244-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGRERO-SALAZAR",
        "first_name": "ISRAEL",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "25449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Rose Rutledge, MFTI
• Colman Ryan, M.D.
• Kathleen M. Ryan, MD
• Saba Dental Group Inc.
• Mahasti Saghizadeh, DDS
• Steven Saito, M.D.
• Navya Sakhamuri, MD
• Jeanne Hansen Salisbury, RN
• Dania Salman
• Goldie Samera, RN

• Addiction (Substance Use Disorder) Counselor in Daly City, CA
• Providers in Daly City, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.