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NPI Code Detail

MEDICARE: DR. JONATHAN B. SALINAS M.D.

MEDICARE: DR. JONATHAN B. SALINAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianA112136CA
2390200000XStudent in an Organized Health Care Education/Training Program
3207Y00000XOtolaryngology Physician15367NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497984835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN B. SALINAS M.D.
Provider Business Mailing Address
First Line : 3195 SAINT ROSE PKWY STE 210
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3504
Country : US
Telephone Number : 702-792-6700
Fax Number :
Provider Business Practice Location Address
First Line : 3195 SAINT ROSE PKWY STE 210
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3504
Country : US
Telephone Number : 702-792-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2009
Last Update Date : 06/09/2021

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