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Angelo A Salvucci

Emergency Medicine

Allopathic & Osteopathic Physicians

300 W Pueblo St, Santa Barbara, CA 93105-4311

PECOS Enrollment

This provider is enrolled in PECOS as ANGELO SALVUCCI.

Based on the most recent information from CMS, provider Angelo A Salvucci is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:36 AM.

Profile Details

Provider ID
1386786671
Provider Type
Individual
Full Name
Salvucci, Angelo A
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/13/2007
Last Updated
4/1/2010

Contact Information

Practice Location

300 W Pueblo St, Santa Barbara, CA 93105-4311

(805) 967-3411

Unlisted Fax

Mailing Location

PO Box 10040, Westminster, CA 92685-0040

(800) 358-8179

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License G48289 California

Provider Identifiers

ID	Description	Issuer
ID 00G482890	Description Medicaid	Issuer Unlisted California

Angelo A Salvucci

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wilson, Brett

Williams, Monica

Catalano, Anthony

Morris, Jason Lee

Kim, Sylvia H

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Yao, Steven K

Lambert, Christopher V

Skrupky, Ryan A

Richmond, Mark