Provider Demographics
NPI:1497325757
Name:SALCEDO, GABRIELA
Entity Type:Individual
Prefix:MS
First Name:GABRIELA
Middle Name:
Last Name:SALCEDO
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 1:1645 SCARLET ASH AVE APT 217
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7755
Mailing Address - Country:US
Mailing Address - Phone:831-261-2926
Mailing Address - Fax:
Practice Address - Street 1:1645 SCARLET ASH AVE APT 217
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7755
Practice Address - Country:US
Practice Address - Phone:831-261-2926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator