Kenneth Garcia Salomon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA50554 Issued in CA

Practice address

11559 Gwent Ave
Loma Linda, CA 92354-4110

Phone

(909) 796-7955

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1013532936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11559 GWENT AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544110",
            "telephone_number": "909-796-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 GWENT AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544110",
            "telephone_number": "909-796-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "KENNETH",
        "middle_name": "GARCIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA50554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Salek
• Waayl Salih, M.D.
• Anna Salisbury, MPH
• Troy Salisbury, MD
• Delphin Sallowm, M.D
• Emelito Pabilona Salvador
• Kyrstle Barrera Salvador, PH.D.
• Olivia Salvador, RN
• Amylee Michelle Sam
• Samineh Sam, PHARM.D

• Physical Therapy Assistant in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.