Healthcare Provider Details

I. General information

NPI: 1457292831
Provider Name (Legal Business Name): JOAN SALUTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

678 3RD AVE
CHULA VISTA CA
91910-5736
US

IV. Provider business mailing address

2601 MOONLIGHT TRAIL LN
CHULA VISTA CA
91915-2528
US

V. Phone/Fax

Practice location:
  • Phone: 619-662-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number8688
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: