Healthcare Provider Details

I. General information

NPI: 1588366876
Provider Name (Legal Business Name): JESSIE SALISBURY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSIE BIRNBAUM MD

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 N FRESNO ST
FRESNO CA
93720-2941
US

IV. Provider business mailing address

7300 N FRESNO ST
FRESNO CA
93720-2941
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number211714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: