=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588519334
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SALUCA, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2026
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 480 CALIFORNIA AVE STE 301
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94306-1609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-236-2836
-----------------------------------------------------
Fax | 855-975-3170
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 228 HAMILTON AVE FL 3
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94301-2583
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-467-9887
-----------------------------------------------------
Fax | 855-975-3170
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. KEEGAN DUCHICELA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 650-269-6302
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------