Salvador Alindada Vallebo Jr., IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

7914 Gaylen Rd
San Diego, CA 92126-2613

Phone

(858) 547-3865

NPI assigned

Jul 8, 2010

Last updated

Jul 8, 2010By 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 2

Addresses

Other names 1

• Mr. Salvador Alindada Vallebo Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1912219791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 GAYLEN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262613",
            "telephone_number": "858-547-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 GAYLEN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262613",
            "telephone_number": "858-547-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEBO",
        "first_name": "SALVADOR",
        "middle_name": "ALINDADA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALVADOR",
            "last_name": "VALLEBO",
            "middle_name": "ALINDADA",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "IDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Farrah A. Valle
• Jennifer Valle
• Maria M Valle, MARRIAGE AND FAMILY
• Shekenna Valle
• Zaira Valle
• Kelley Anne Vallecillo
• Andrea Vallejo
• Giselle Elsa Vallejo, LPCC
• Velkis Lisbeth Vallejo
• Jesse Attilio Vallera, OTR/L

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.