Provider Demographics
NPI:1427641620
Name:SALDANA, NIA MAY
Entity type:Individual
Prefix:
First Name:NIA
Middle Name:MAY
Last Name:SALDANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-1880
Mailing Address - Country:US
Mailing Address - Phone:951-790-9839
Mailing Address - Fax:
Practice Address - Street 1:5284 ADOLFO RD STE 100
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-6790
Practice Address - Country:US
Practice Address - Phone:805-289-0120
Practice Address - Fax:805-289-0130
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2024-07-02
Deactivation Date:2022-05-16
Deactivation Code:
Reactivation Date:2022-06-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56CCOtherASPIRA