Individual provider Active NPI

Shelby Anne Saltsman, PA-C

  • Surgical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1114566247
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA61209 Issued in CA
Practice address
421 N Rodeo Dr Ste 7
Beverly Hills, CA 90210-4500
Phone
(310) 274-5372
Fax
(310) 274-5380
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA61209 CA Primary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 9894 GA

Addresses

Primary practice location

421 N Rodeo Dr Ste 7
Beverly Hills, CA 90210-4500

Mailing address

421 N Rodeo Dr Ste 7
Beverly Hills, CA 90210-4500
Phone (310) 274-5372

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
I20220829003681 CA Practitioner - Physician Assistant 1557761939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2802 Pacific Coast Hwy
Torrance, CA 90505-6702
Phone (310) 274-5372

421 N Rodeo Dr
FL 2
Beverly Hills, CA 90210-4531
Phone (310) 274-5372

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9894GAMDDermatology Physician
PA61209CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince May 21, 2024 Accepting new patients
Golden State Dermatology Associates, Inc. Single Specialty CurrentSince May 21, 2024 Accepting new patients
Sentry Anesthesia Management, LLC Single Specialty PastSince Nov 15, 2020 Accepting new patients
Moy-Fincher-Chipps Surgery Center, Inc. Past Accepting new patients
Jennifer Herrmann MD Inc Single Specialty Past Accepting new patients

Locations

421 N Rodeo Dr
Fl 2
Beverly Hills, CA 90210
Phone (310) 274-5372

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

5400 Balboa Blvd
Ste 220
Encino, CA 91316
Phone (310) 274-5327

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Interoperability endpoints

  • Direct secure messaging: ssaltsman@directaddress.net

Organizations & group practices 5

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1114566247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE 7",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104500",
            "telephone_number": "310-274-5372",
            "fax_number": "310-274-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE 7",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104500",
            "telephone_number": "310-274-5372",
            "fax_number": "310-274-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTSMAN",
        "first_name": "SHELBY",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA61209",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "9894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.