Organization Active NPI

Dennis Salcido, M.D., a Professional Corporation

  • Surgery Physician
  • San Jose, CA
National Provider Identifier
1932426160
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A33066 Issued in CA
Legal business name
DENNIS SALCIDO, M.D., A PROFESSIONAL CORPORATION
Practice address
155 N Jackson Ave
#201
San Jose, CA 95116-1925
Phone
(408) 923-6440
Fax
(408) 923-0572
NPI assigned
Apr 28, 2010
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Dennis Salcido, M.D.NPI 1811070063
Title
President
Phone
(408) 923-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A33066 CA Primary

Addresses

Primary practice location

155 N Jackson Ave
#201
San Jose, CA 95116-1925

Mailing address

155 N Jackson Ave
#201
San Jose, CA 95116-1925
Phone (408) 923-6440

Other identifiers 1

IdentifierTypeStateIssuer
00A330660MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916000359 CA Part B Supplier - Clinic/Group Practice 5193840924 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1932426160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N JACKSON AVE",
            "address_2": "#201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161925",
            "telephone_number": "408-923-6440",
            "fax_number": "408-923-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N JACKSON AVE",
            "address_2": "#201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161925",
            "telephone_number": "408-923-6440",
            "fax_number": "408-923-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS SALCIDO, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "SALCIDO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-923-6440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A33066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A330660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.