Active NPI
Doctor Clint H. Salo Inc.
- Adult Mental Health Clinic/Center
- Placentia, CA
National Provider Identifier
1932639192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- DOCTOR CLINT H. SALO INC.
- Practice address
- 101 S Kraemer Blvd Ste 110
Placentia, CA 92870-6109 - Phone
- (714) 995-0359
- NPI assigned
- Jun 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clint Harold Salo, DO
- Title
- Owner
- Phone
- (702) 354-2422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
101 S Kraemer Blvd Ste 110
Placentia, CA 92870-6109
Mailing address
17962 Sequoia Cir
Yorba Linda, CA 92886-3357
Phone (702) 354-2422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A12121 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504742400000",
"number": "1932639192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17962 SEQUOIA CIR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863357",
"telephone_number": "702-354-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S KRAEMER BLVD STE 110",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706109",
"telephone_number": "714-995-0359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTOR CLINT H. SALO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-19",
"last_updated": "2017-09-07",
"status": "A",
"authorized_official_last_name": "SALO",
"authorized_official_first_name": "CLINT",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-354-2422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "20A12121",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.