Provider Demographics
NPI:1134013741
Name:SALDATE, ERENDIRA G
Entity type:Individual
Prefix:
First Name:ERENDIRA
Middle Name:G
Last Name:SALDATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERENDIRA
Other - Middle Name:G
Other - Last Name:SANTILLANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1002 S DAWES AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95215
Mailing Address - Country:US
Mailing Address - Phone:209-808-2892
Mailing Address - Fax:
Practice Address - Street 1:1075 CREEKSIDE RIDGE
Practice Address - Street 2:SUITE 280
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678
Practice Address - Country:US
Practice Address - Phone:888-512-2695
Practice Address - Fax:916-729-3098
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician