Organization Active NPI

Marina a Salama MD Inc

  • Pediatric Adolescent Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1023622586
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
MARINA A SALAMA MD INC
Practice address
15107 Vanowen St
Van Nuys, CA 91405-4597
Phone
(818) 782-6600
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Marina A Salama, MDNPI 1730479809
Title
President
Phone
(540) 353-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

15107 Vanowen St
Van Nuys, CA 91405-4597

Mailing address

5131 Genesta Ave
Encino, CA 91316-3450
Phone (540) 353-5111

Other practice location 1

10716 La Tuna Canyon Rd
Sun Valley, CA 91352-2130
Phone (818) 252-5863

Other identifiers 3

IdentifierTypeStateIssuer
694921OtherNCTHE AMERICAN BOARD OF PEDIATRICS
1730479809MedicaidCA
A125617OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023622586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 GENESTA AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163450",
            "telephone_number": "540-353-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054597",
            "telephone_number": "818-782-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10716 La Tuna Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "913522130",
            "country_code": "US",
            "telephone_number": "818-252-5863",
            "fax_number": "818-683-1859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARINA A SALAMA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-353-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN BOARD OF PEDIATRICS",
            "identifier": "694921",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730479809",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A125617",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.