Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sage Marie Salacup, PA-C

Individual provider Physician Assistant · NPI 1972320117

Sage Marie Salacup, PA-C is a Physician Assistant in El Cajon, California. Qualified in 2024, 2 years ago. Practices with Sycuan Tribal Government, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4921 Dehesa Rd
El Cajon, CA 92019-2929
Phone: (619) 445-0707
Fax: (619) 445-0901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65088 (CA)

Record details

NPI number1972320117
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 20, 2024
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sycuan Tribal Government — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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