Healthcare Provider Details

I. General information

NPI: 1821915547
Provider Name (Legal Business Name): CLINICA DE SALUD DEL VALLE DE SALINAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 BLANCO CIR STE 2B
SALINAS CA
93901-4456
US

IV. Provider business mailing address

55 PLAZA CIR STE A
SALINAS CA
93901-2952
US

V. Phone/Fax

Practice location:
  • Phone: 831-676-2605
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL AUGUSTINE VICTOR
Title or Position: INTERIM CFO
Credential:
Phone: 831-757-8689