Individual provider Active NPI

Konstantin Salkinder, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Los Angeles, CA
National Provider Identifier
1114992815
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
C42070 Issued in CA
Practice address
6221 Wilshire Blvd
318
Los Angeles, CA 90048-5225
Phone
(323) 933-8477
Fax
(323) 933-0742
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X C42070 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd
318
Los Angeles, CA 90048-5225

Mailing address

6221 Wilshire Blvd
318
Los Angeles, CA 90048-5225
Phone (323) 933-8477

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
I20080123000533 CA Practitioner - Otolaryngology 6406938935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6221 Wilshire Blvd
Suite 318
Los Angeles, CA 90048-5225
Phone (323) 933-8477

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue33
Removal of skin lesions20
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42070CAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K C Salkinder MD, Inc Plastic Surgery Within the Head & Neck CurrentSince Oct 17, 2010 Accepting new patients
Cedars-Sinai Medical Center PastSince Oct 17, 2010 Accepting new patients

Locations

7509 Laurel Ave
Fontana, CA 92336
Phone (805) 485-3338

6221 Wilshire Blvd
Ste 318
Los Angeles, CA 90048
Phone (213) 933-8477

Organizations & group practices 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1114992815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "318",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485225",
            "telephone_number": "323-933-8477",
            "fax_number": "323-933-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "318",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485225",
            "telephone_number": "323-933-8477",
            "fax_number": "323-933-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKINDER",
        "first_name": "KONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "C42070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.