Alexander Charles Salloum, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A89300 Issued in CA

Practice address

1111 Broadway Ste 305
Chula Vista, CA 91911

Phone

(619) 567-7007

Fax

(619) 567-7775

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Sasha Alexander Salloum Professional name

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

Specialty

Vascular SurgeryAlso: Emergency Medicine

Education

State University of New York at Stony Brook, School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sasha Salloum MD Inc a Professional Medical CorporationGroup PAC ID 5991012130, 8 clinicians

Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: asalloum80476@scrippshlth.medalliesdirect.net
• Direct secure messaging: asalloum10464@direct.acumenmd.com
• Direct secure messaging: alexander.salloum.p164@direct.lifelinevascular.nextgenshare.com

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.

• Sasha Salloum MD Inc a Professional Medical Corporation

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1578949889

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD Authorized official
• Balboa Nephrology Medical Group, Inc.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1316997505
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Surgery Physician
  • San Diego, CA
  • NPI 1740382993
  Medicare reassignment NPD
• Elite Specialty Surgery Center of Chula Vista, LLC

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1467289884
  NPD Authorized official
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927

  Vascular & Interventional Radiology

  NPD
• Sasha Salloum, MD, Inc

  • Vascular Surgery Physician
  • San Diego, CA
  • NPI 1265872873
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Palomar Health

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  NPD (past)
• Paradise Valley Hospital

  • General Acute Care Hospital
  • National City, CA
  • NPI 1598756710
  NPD (past)
• Regents of the University of California

  • Pharmacy
  • San Diego, CA
  • NPI 1598786576
  NPD (past)
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  NPD (past)

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

• El Centro Regional Medical Center

  • General Acute Care Hospital
  • El Centro, CA
  • NPI 1861409823
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1124176151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BROADWAY STE 305",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112700",
            "telephone_number": "619-567-7007",
            "fax_number": "619-567-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BROADWAY STE 305",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-567-7007",
            "fax_number": "619-567-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 E Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254616",
            "country_code": "US",
            "telephone_number": "760-884-4500",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6719 Alvarado Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205264",
            "country_code": "US",
            "telephone_number": "619-500-7699",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "ALEXANDER",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A89300",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A89300",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A89300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124176151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "SALLOUM",
            "middle_name": "ALEXANDER",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maryjane Sales
• Erika B Salgado
• Liliana Salgado
• Briana Salinas
• Sarahi Cecilia Salinas
• Chilanta Denise Salmon
• Sheila Dawn Salonius
• Salt Family Chiropractic, Inc.
• Celeste Ann Salt, D.C.
• Christian Salt, DC

• Vascular Surgery Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.