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NPI Code Detail

MEDICARE: ANGELICA TERESA SALAZAR NP

MEDICARE: ANGELICA TERESA SALAZAR NP
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
1207Q00000XFamily Medicine Physician95017512CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2364880889OTHERCAPREFERRED PROVIDER ORGANIZATION

General Provider Information

NPI Number : 1720656218
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA TERESA SALAZAR NP
Provider Business Mailing Address
First Line : 1544 KNOXVILLE ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3643
Country : US
Telephone Number : 619-772-5546
Fax Number :
Provider Business Practice Location Address
First Line : 195 PAGE MILL RD STE 103
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-2073
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 05/20/2026

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Directions to “ ANGELICA TERESA SALAZAR NP” Practice Location

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