Su Salud Clinic Psc
NPI 1689941932 · Family Medicine Physician · Fort Wayne, IN
Su Salud Clinic Psc is a Family Medicine Physician organization in Fort Wayne, IN (NPI 1689941932).
Provider details
- NPI number
- 1689941932
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mario Gomez, Family Practice/Owner(260) 444-5695
- License
- 01056928A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-11-30
- Last updated
- 2012-07-16
Frequently asked questions
- What is Su Salud Clinic Psc's NPI number?
- Su Salud Clinic Psc's National Provider Identifier (NPI) is 1689941932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Su Salud Clinic Psc?
- Su Salud Clinic Psc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Su Salud Clinic Psc located?
- Su Salud Clinic Psc's practice location on file with NPPES is 4101 Diplomat Plaza Ctr, Fort Wayne, IN 46806-4531.
- What is Su Salud Clinic Psc's phone number?
- The practice phone number listed in the NPPES registry for Su Salud Clinic Psc is (260) 444-5695.
- Who is the authorized official for Su Salud Clinic Psc?
- The authorized official listed on Su Salud Clinic Psc's NPPES record is Mario Gomez, Family Practice/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Su Salud Clinic Psc's NPI active?
- Yes — Su Salud Clinic Psc's NPI (1689941932) is active in the NPPES registry as of the last update on 2012-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.