Healthcare Provider Details

I. General information

NPI: 1992881858
Provider Name (Legal Business Name): JARED MICHAEL SALVO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9908 BRIMHALL RD STE 103
BAKERSFIELD CA
93312-3179
US

IV. Provider business mailing address

PO BOX 22290
BAKERSFIELD CA
93390-2290
US

V. Phone/Fax

Practice location:
  • Phone: 661-843-6464
  • Fax: 661-282-8417
Mailing address:
  • Phone: 661-843-6464
  • Fax: 661-282-8417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number20A8253
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number2OA8253
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A8253
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number20A8253
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: