JOSE REVELES SALCEDO PMHNP
NPI 1053299594
Nurse Practitioner - Psychiatric/Mental Health in Victorville, CA

Q: What is Jose Salcedo's NPI number?

The NPI number for Jose Salcedo is 1053299594. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Q: What is Jose Salcedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jose Salcedo was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 22, 2025PECOS Enrolled

16888 NISQUALLI RD STE 200-4, VICTORVILLE, CA 92395(909) 921-8953 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jose Reveles Salcedo Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE REVELES SALCEDO PMHNP (NPI 1053299594) is an individual psychiatric/mental health provider in Victorville, California, licensed in California (95036807) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053299594

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOSE REVELES SALCEDOCredential: PMHNP

Location Address16888 NISQUALLI RD STE 200-4Victorville, CA 92395-9703

Mailing Address16888 Nisqualli Rd Ste 200-4Victorville, CA 92395-9703 · (760) 502-8020 · Fax (760) 841-4208

Phone(909) 921-8953

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 22, 2025

Last NPPES UpdateFebruary 5, 2026

NPPES CertifiedFebruary 5, 2026

✔ NPI 1053299594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95036807

16888 NISQUALLI RD STE 200-4, Victorville, CA 92395

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Reveles Salcedo Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325512429

PECOS Enrollment IDI20260630001782

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARITY NURSING, PC

Nurse Practitioner (Psychiatric/Mental Health)

16888 NISQUALLI RD STE 200-4
VICTORVILLE, CA 92395

San Bernardino County (909) 921-8953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Salcedo's NPI number?

The NPI number for Jose Salcedo is 1053299594. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Jose Salcedo located?

Jose Salcedo practices at 16888 Nisqualli Rd Ste 200-4, Victorville, CA 92395. The listed phone number is (909) 921-8953.

What is Jose Salcedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jose Salcedo enrolled in Medicare?

Yes. Jose Salcedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Salcedo was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.