Provider Demographics
NPI:1609958594
Name:SALCEDO, FRANCISCO (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:SALCEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 N FRESNO ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4039
Mailing Address - Country:US
Mailing Address - Phone:559-266-0759
Mailing Address - Fax:559-266-5491
Practice Address - Street 1:4015 N FRESNO ST
Practice Address - Street 2:SUITE 108
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4039
Practice Address - Country:US
Practice Address - Phone:559-266-0759
Practice Address - Fax:559-266-5491
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A556020Medicaid
CAG62815Medicare UPIN
CA00A556020Medicaid