Individual provider Active NPI

Tina Salehi, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1003586546
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018406 Issued in CA
Practice address
28078 Baxter Rd Ste 530
Murrieta, CA 92563-1405
Phone
(951) 566-5229
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95084442 CA
Family Nurse Practitioner 363LF0000X 95018406 CA Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 530
Murrieta, CA 92563-1405

Mailing address

1454 Genoa Dr
Vista, CA 92081-5382
Phone (760) 846-2217

Other practice location 1

1454 Genoa Dr
Vista, CA 92081-5382
Phone (760) 846-2217

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 CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000078 CA Practitioner - Nurse Practitioner 7810388972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

1751 University Dr
Vista, CA 92083-7775
Phone (760) 941-0220

393 E Walnut St
Pasaden, CA 91188-0001
Phone (877) 608-0044

393 E Walnut St 3Rd FL
Pasadena, CA 91188-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95084442CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 22, 2023 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Palomar Emergency Physicians, Inc CurrentSince Jun 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 22, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Beaver Medical Group P C CurrentSince Feb 23, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 23, 2023 Accepting new patients

Locations

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

4760 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 783-0567

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

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

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: tina.salehi.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: tsalehi21929@epiclp.direct-ci.com

Organizations & group practices 7

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1003586546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 GENOA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815382",
            "telephone_number": "760-846-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 530",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631405",
            "telephone_number": "951-566-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1454 Genoa Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920815382",
            "country_code": "US",
            "telephone_number": "760-846-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEHI",
        "first_name": "TINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-10-27",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95084442",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018406",
            "primary": true
        }
    ],
    "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": "4760 W Sunset Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.