Divine Salas, is a
Licensed Vocational Nurse based in San Bruno, California. Divine Salas is licensed to practice in California (license number 748302) and her current practice location is
901 Sneath Ln Ste 105, San Bruno, California. She can be reached at her office (for appointments etc.) via phone at
(855) 223-7123.
NPI number for Divine Salas is 1376232637 and her current mailing address is Po Box 33568, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376232637.
Provider's Profile
| Full Name | Divine Salas |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 901 Sneath Ln Ste 105, San Bruno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376232637
- Provider Enumeration Date: 05/03/2023
- Last Update Date: 05/04/2025
Medical Identifiers
Medical identifiers for Divine Salas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376232637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 748302 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Divine Salas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Divine Salas,
Po Box 33568,
San Diego, CA 92163-3568
Ph: (855) 223-7123 | Divine Salas,
901 Sneath Ln Ste 105,
San Bruno, CA 94066-2415
Ph: (855) 223-7123 |
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