Provider Demographics
NPI:1588165708
Name:SALGADO, CESAR (MA)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:SALGADO
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 BRIDLEVALE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1531
Mailing Address - Country:US
Mailing Address - Phone:650-440-1909
Mailing Address - Fax:
Practice Address - Street 1:5101 MARKET ST STE 2100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-2224
Practice Address - Country:US
Practice Address - Phone:858-351-6545
Practice Address - Fax:619-399-3724
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X, 390200000X
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program