Organization Active NPI

Doctor Clint H. Salo Inc.

  • Adult Mental Health Clinic/Center
  • Placentia, CA
National Provider Identifier
1932639192
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 7, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20A12121OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.