Healthcare Provider Details

I. General information

NPI: 1275868614
Provider Name (Legal Business Name): STEVEN SAVERIO SALVEMINI CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2009
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

2136 4TH AVE
SACRAMENTO CA
95818-3108
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7985
  • Fax:
Mailing address:
  • Phone: 818-219-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number97147
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number678805
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number97147
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3839
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: