OrganizationActive
Salvador E Lasala MD a Medical Corporation
NPI 1417161621 · Group Psychotherapy Psychologist · San Bernardino, CA
Provider details
- NPI number
- 1417161621
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Salvador Lasala, President(909) 886-3100
- License
- A52616 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
399 E Highland Ave
Ste 214
San Bernardino, CA 92404-3816
Phone: (909) 886-3100
Fax: (909) 886-4100
Street-level locationGet directions
Mailing address
399 E Highland Ave
San Bernardino, CA 92404-3816
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.