Healthcare Provider Details

I. General information

NPI: 1346304706
Provider Name (Legal Business Name): DAVID JOHN SALVATO RN, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 WALNUT ST SUITE A
RED BLUFF CA
96080-3611
US

IV. Provider business mailing address

PO BOX 400
RED BLUFF CA
96080-0400
US

V. Phone/Fax

Practice location:
  • Phone: 530-527-5631
  • Fax: 530-527-0232
Mailing address:
  • Phone: 530-527-5631
  • Fax: 530-527-0232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number674197
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: