Individual provider Active NPI

Wasfi Fouad Salama, DDS

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1013101591
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52464 Issued in CA
Practice address
1830 28TH St
Bakersfield, CA 93301-1904
Phone
(661) 326-8536
Fax
(661) 326-8511
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 52464 CA Primary

Addresses

Primary practice location

1830 28TH St
Bakersfield, CA 93301-1904

Mailing address

1830 28TH St
Bakersfield, CA 93301-1904
Phone (661) 326-8536

Other identifiers 1

IdentifierTypeStateIssuer
D52464MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524002579 CA Order and Referring Only - General PracticePractitioner - General Practice 8224305115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salama Dental Inc Current Accepting new patients
Salama & Alkhalayleh Dental Corp Dentist PastSince Apr 30, 2023 Accepting new patients
Salama & Al-Khalayleh Dental Corporation Past Accepting new patients

Organizations & group practices 3

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1013101591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011904",
            "telephone_number": "661-326-8536",
            "fax_number": "661-326-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011904",
            "telephone_number": "661-326-8536",
            "fax_number": "661-326-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "WASFI",
        "middle_name": "FOUAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D52464",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.