Individual provider Active NPI

Regine Vielka Trinidad Salcedo, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1942771407
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010417 Issued in CA
Practice address
400 Parnassus Ave FL 8
San Francisco, CA 94143-2202
Phone
(415) 502-6197
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010417 CA Primary

Addresses

Primary practice location

400 Parnassus Ave FL 8
San Francisco, CA 94143-2202

Mailing address

400 Parnassus Ave FL 8
San Francisco, CA 94143-2202
Phone (415) 502-6197

Other practice location 1

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (661) 860-5788

Other practice location 2

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (661) 860-5788

Other practice location 3

1450 E Holt Ave
Pomona, CA 91767-5822
Phone (661) 860-5788

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614002587 CA Practitioner - Nurse Practitioner 8325371883 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010417CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
California Neurointerventional Surgeons, Inc CurrentSince Oct 29, 2024 Accepting new patients
University of California San Francisco CurrentSince Aug 11, 2022 Accepting new patients
UCSF Pediatrics Associates CurrentSince Aug 11, 2022 Accepting new patients
Mobile Physicians Medical Allied Group Inc CurrentSince Apr 24, 2024 Accepting new patients
University of California San Francisco CurrentSince Aug 11, 2022 Accepting new patients
Arrowhead Neurosurgical Medical Group, Inc. CurrentSince Sep 22, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 12, 2023 Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
UCSF Dept of Surgery CurrentSince Aug 11, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Regents of the University of California CurrentSince Aug 11, 2022 Accepting new patients
Apple Urgent Care, Inc CurrentSince Jan 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 12, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 11, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 11, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2021 Accepting new patients
Global Mobile Medical Alliances, Inc. PastSince Mar 23, 2022 Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1207 E Florida Ave
Hemet, CA 92543
Phone (951) 925-2523

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

26520 Cactus Ave
Ste A2006
Moreno Valley, CA 92555
Phone (951) 486-4460

25970 Iris Ave
Ste 3B
Moreno Valley, CA 92551
Phone (951) 924-2775

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

700 E Redlands Blvd
Ste 714
Redlands, CA 92373

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

400 Parnassus Ave
Fl 8
San Francisco, CA 94143
Phone (415) 353-2273

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

Interoperability endpoints

  • Direct secure messaging: regine.salcedo@398008301912068.direct.elationemr.com
  • Direct secure messaging: regine.salcedo.p1@direct.dvmg.nextgenshare.com
  • Direct secure messaging: rsalcedo133996@direct.llu.edu

Organizations & group practices 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1942771407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE FL 8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-502-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE FL 8",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-502-6197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16850 Bear Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955794",
            "country_code": "US",
            "telephone_number": "661-860-5788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26520 Cactus Ave",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925553927",
            "country_code": "US",
            "telephone_number": "661-860-5788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E Holt Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917675822",
            "country_code": "US",
            "telephone_number": "661-860-5788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "REGINE VIELKA",
        "middle_name": "TRINIDAD",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-09-26",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.