Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jose Reveles Salcedo, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053299594

Jose Reveles Salcedo, PMHNP is a Nurse Practitioner in Victorville, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

16888 Nisqualli Rd Ste 200-4
Victorville, CA 92395-9703
Phone: (909) 921-8953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95036807 (CA)

Record details

NPI number1053299594
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedAugust 22, 2025
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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