Salvino John Amaya
Individual provider Active NPI Case Manager/Care Coordinator · Senora, CA
NPI 1992164701 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1992164701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 105 Hospital Rd
Senora, CA 95370-4618 - Phone
- (209) 533-6245
- Fax
- (209) 725-3775
- NPI assigned
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tuolumne | Current |
Accepting new patients | |
| County of Tuolumne | Current |
Accepting new patients |
Locations
2 S Green St
Sonora, CA 95370
105 Hospital Rd
Sonora, CA 95370
Phone (209) 533-6245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | Yes |
Addresses
Primary practice location
105 Hospital Rd
Senora, CA 95370-4618
Mailing address
2 S Green St
Sonora, CA 95370-4618
Phone (209) 533-6245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Medicaid | CA | |
| 1013030808 | Medicaid | CA |
Other providers in Senora, CA
All providers in Senora, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.