Healthcare Provider Details

I. General information

NPI: 1841109691
Provider Name (Legal Business Name): AMARIS SALMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 HEGENBERGER RD STE 400
OAKLAND CA
94621-1419
US

IV. Provider business mailing address

303 HEGENBERGER RD STE 400
OAKLAND CA
94621-1419
US

V. Phone/Fax

Practice location:
  • Phone: 510-290-2304
  • Fax: 510-290-2304
Mailing address:
  • Phone: 510-290-2304
  • Fax: 510-290-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: