NPIMap

Individual provider Active NPI

Hisham Raza Alim Salahuddin, MD

  • Neurology Physician
  • Thousand Oaks, CA
National Provider Identifier
1043656960
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.133592 Issued in OH
Practice address
227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856
Phone
(805) 242-4884
Fax
(805) 242-4885
NPI assigned
May 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 21339 NV
Neurology Physician 2084N0400X 35.133592 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X OH

Addresses

Primary practice location

227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856

Mailing address

227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856
Phone (805) 242-4884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200831002584 CA Practitioner - NeurologyPractitioner - Vascular Surgery 9830492503 Reassigns benefits to 1 organization
I20220327000036 NV Practitioner - NeurologyPractitioner - Vascular Surgery 9830492503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Vascular Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vascular Neurology of Southern California IncGroup PAC ID 0143558643, 8 clinicians

Practice addresses (Care Compare)

2190 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-8024
Phone (805) 242-4884

2190 Lynn Rd
Suite 380
Thousand Oaks, CA 91360-8029

2403 Castillo St
Suite 203
Santa Barbara, CA 93105-5316
Phone (804) 242-4884

44105 15TH St W
Suite 204
Lancaster, CA 93534-4090
Phone (805) 242-4884

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21339NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Neurology Las Vegas LLC CurrentSince Jan 1, 2022 Accepting new patients
Vascular Neurology of Southern California Inc CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Medical University of Ohio at Toledo Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Fisher-Titus Medical Center Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

17525 Ventura Blvd
Ste 210
Encino, CA 91316
Phone (818) 501-8743

2403 Castillo St
Ste 203
Santa Barbara, CA 93105
Phone (805) 302-7833

227 W Janss Rd
Ste 125
Thousand Oaks, CA 91360
Phone (805) 242-4884

2100 Lynn Rd
Ste 120
Thousand Oaks, CA 91360
Phone (805) 495-2161

2190 Lynn Rd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 242-4884

2190 Lynn Rd
Ste 380
Thousand Oaks, CA 91360
Phone (805) 242-4884

3201 S Maryland Pkwy
Ste 318
Las Vegas, NV 89109
Phone (702) 629-7490

3196 S Maryland Pkwy
Ste 405
Las Vegas, NV 89109
Phone (702) 707-6960

Interoperability endpoints

  • Direct secure messaging: hisham.salahuddin@200733209001988.direct.elationemr.com

Organizations & group practices 9

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043656960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 125",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601856",
            "telephone_number": "805-242-4884",
            "fax_number": "805-242-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 125",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601856",
            "telephone_number": "805-242-4884",
            "fax_number": "805-242-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAHUDDIN",
        "first_name": "HISHAM",
        "middle_name": "RAZA ALIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-18",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "21339",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.133592",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.