Provider Demographics
NPI:1659320513
Name:SALGADO-LEJANO, DELIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:DELIA
Middle Name:A
Last Name:SALGADO-LEJANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:ARCA
Other - Last Name:SALGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P,O, BOX 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:1220 ROSSMOOR PKWY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-2501
Practice Address - Country:US
Practice Address - Phone:925-952-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00824959OtherRAILROAD MEDICARE
AZ480723Medicaid
CA00A561760Medicaid
CA00A561760Medicaid
CADA445ZMedicare PIN
AZZ76744Medicare PIN
AZG67881Medicare UPIN
AZZ76745Medicare PIN