Individual provider Active NPI

Salvador Palomares, MFT

  • Marriage & Family Therapist
  • San Pablo, CA
National Provider Identifier
1962693713
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC47403 Issued in CA
Practice address
13201 San Pablo Ave Ste 305
San Pablo, CA 94806-3958
Phone
(510) 451-0661
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC47403 CA Primary

Addresses

Primary practice location

13201 San Pablo Ave Ste 305
San Pablo, CA 94806-3958

Mailing address

PO Box 934
Pinole, CA 94564-0934
Phone (510) 374-6140

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306003780 CA Practitioner - Marriage and Family Therapist 0941646442 Reassigns benefits to 1 organization
Practice locations: El Cerrito, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Kearney St
Suite D
El Cerrito, CA 94530-3520
Phone (510) 439-7497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC47403CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Jan 23, 2024 Accepting new patients
City & County of San Francisco CurrentSince Jan 23, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1962693713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945640934",
            "telephone_number": "510-374-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 SAN PABLO AVE STE 305",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063958",
            "telephone_number": "510-451-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMARES",
        "first_name": "SALVADOR",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC47403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.