Healthcare Provider Details

I. General information

NPI: 1346165925
Provider Name (Legal Business Name): ANA SALVADOR MATEO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 LORRI WAY
ESCONDIDO CA
92026-1205
US

IV. Provider business mailing address

1944 LORRI WAY
ESCONDIDO CA
92026-1205
US

V. Phone/Fax

Practice location:
  • Phone: 442-777-1488
  • Fax: 760-888-2146
Mailing address:
  • Phone: 442-777-1488
  • Fax: 760-888-2146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: