Individual provider Active NPI

Salma Mohammadi Green, DO

  • Family Medicine Physician
  • Redlands, CA
National Provider Identifier
1003301417
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19314 Issued in CA
Practice address
1467 Ford St Ste 201
Redlands, CA 92373-3912
Phone
(909) 206-2612
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A19314 CA Primary
Family Medicine Physician 207Q00000X OS021083 PA

Addresses

Primary practice location

1467 Ford St Ste 201
Redlands, CA 92373-3912

Mailing address

11645 Wiggins CT
Yucaipa, CA 92399-6973
Phone (909) 615-3078

Other practice location 1

415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (888) 803-3370

Other practice location 2

2418 E York St
Philadelphia, PA 19125-3006
Phone (888) 803-3370

Other practice location 3

245 Terracina Blvd Ste 102
Redlands, CA 92373-4865
Phone (909) 792-2605

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210720004064 PA Practitioner - Family Practice 5799020723 Reassigns benefits to 1 organization
I20220909001144 CA Practitioner - Family Practice 5799020723 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

7000 Boulder Ave
Suite 103
Highland, CA 92346-3348
Phone (515) 441-6271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
19314CAMDClinical Social Worker
20A19314CAMDFamily Medicine Physician
OS021083PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Mar 28, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Stately Urgent Care PC CurrentSince Sep 15, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jul 26, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Mar 28, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 17, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Exer Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations (25 of 29)

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456

7000 Boulder Ave
Highland, CA 92346

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1467 Ford St
Ste 201
Redlands, CA 92373
Phone (909) 206-2612

245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671

2 W Fern Ave
#1112
Redlands, CA 92373

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949

Interoperability endpoints

  • FHIR API: https://epicproxy.et1038.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1003301417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WIGGINS CT",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996973",
            "telephone_number": "909-615-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 FORD ST STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733912",
            "telephone_number": "909-206-2612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2418 E York St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191253006",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Terracina Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734865",
            "country_code": "US",
            "telephone_number": "909-792-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SALMA",
        "middle_name": "MOHAMMADI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-05-27",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19314",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.