MARY KATHARINE SALAS (NPI# 1275146870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275146870 |
| Entity Type | Individual |
| Full Name | MARY KATHARINE SALAS |
| Credential | CNS |
| Practice Address |
4501 Sand Creek Rd Antioch CA 94531-8687 |
| Mailing Address |
524 Coconut Pl Brentwood CA 94513-1994 |
| Practice Telephone | 9258136534 |
| Mailing Telephone | 9256421260 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
4872 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BRN | 4872 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730361668 | Mary R Salas | Technician | 2813 38th St, Lubbock, TX 79413-2807 | 2007-12-03 |
| Street Address |
4501 SAND CREEK RD |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-8687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934258 | Eve Ann Mccarthy | Nurse Practitioner | 4501 Sand Creek Rd, 3rd Floor, Employee Health Services, Antioch, CA 94531-8687 | 2005-12-22 |
| 1750998522 | Gabriela Salome Figueroa | Health Educator | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2020-09-25 |
| 1851911242 | Daniel Kenneth Wong | Pharmacist | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2020-04-25 |
| 1023644507 | Jeffrey Robert Chavez | Physician Assistant | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2020-03-17 |
| 1033670104 | Jacob Fredrickson | Physical Therapist | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2019-03-29 |
| 1487118436 | Arnoldo Amador | Respiratory Therapist, Registered | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2019-01-24 |
| 1316401458 | Richard Joseph Hays | Respiratory Therapist, Registered | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2019-01-23 |
| 1700340866 | Vanjo Cosino | Respiratory Therapist, Registered | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2019-01-23 |
| 1093289258 | Desiree Rushing | Respiratory Therapist, Certified | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2019-01-21 |
| 1063986206 | Sharon Ann Lewis | Respiratory Therapist, Registered | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2019-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212993 | Jacqueline Fitzgerald Close I | Clinical Nurse Specialist | 11188 Carlota St, San Diego, CA 92129-1212 | 2020-04-01 |
| 1891339602 | Darryl De Los Angeles | Clinical Nurse Specialist | 8016 Paso Robles Ave, Lake Balboa, CA 91406-1124 | 2019-11-05 |
| 1841704921 | Juliet Li-yeh Shih | Clinical Nurse Specialist | 4131 Geary Blvd # 402, San Francisco, CA 94118-3101 | 2017-11-27 |
| 1235597352 | Edna Culp | Clinical Nurse Specialist | 14562 High Pine St, Poway, CA 92064-5918 | 2016-02-03 |
| 1457756413 | Ann M. Mayo | Clinical Nurse Specialist | 806 Vanitie Ct, San Diego, CA 92109-7038 | 2014-11-01 |
| 1467727313 | Catherine Caston | Clinical Nurse Specialist | 412 N Bellflower Blvd, Unit # 312, Long Beach, CA 90814-2055 | 2012-03-11 |
| 1689730590 | Karen Sheng | Clinical Nurse Specialist | 901 Marshall St, Redwood City, CA 94063-2026 | 2006-12-28 |
| 1851455372 | Charles Wayne Williams | Clinical Nurse Specialist | 5040 Brabant Ct, Elk Grove, CA 95757-3295 | 2006-12-20 |
| 1881238780 | Maria Nerina Girasol | Clinical Nurse Specialist | 28202 Cabot Rd, Laguna Niguel, CA 92677-1222 | 2019-11-04 |
| 1609425776 | Christa Perryman | Clinical Nurse Specialist | 1100 Veterans Blvd, Redwood City, CA 94063-2037 | 2019-09-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.