Active NPI
Salem Lebada, DPM
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E6020
- Practice address
- 505 S Virgil Ave Ste 205
Los Angeles, CA 90020-1443 - Phone
- (213) 805-5822
- NPI assigned
- Jun 3, 2021
- Last updated
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E6020 | CA | Primary |
Addresses
Primary practice location
505 S Virgil Ave Ste 205
Los Angeles, CA 90020-1443
Mailing address
505 S Virgil Ave Ste 205
Los Angeles, CA 90020-1443
Phone (213) 805-5822
Other practice location 1
638 West Commonwealth Ave
Fullerton, CA 92832
Phone (213) 805-5822
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 S Virgil Ave
Suite 205
Los Angeles, CA 90020-1443
Phone (213) 805-5822
5115 Clareton Dr
Suite 135
Agoura Hills, CA 91301-6317
Phone (213) 373-3246
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 46 |
| Removal or shaving of skin growth | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6020 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Han Orthopaedics Inc | Current | Accepting new patients | |
| MRR Foot & Ankle Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| White Memorial Medical Center | Past | Accepting new patients |
Locations
5115 Clareton Dr
Ste 135
Agoura Hills, CA 91301
Phone (213) 373-3246
500 E Olive Ave
Ste 840
Burbank, CA 91501
Phone (213) 373-3246
638 W Commonwealth Ave
Fullerton, CA 92832
Phone (213) 805-5822
6444 San Fernando
Unit 5611
Glendale, CA 91221
505 S Virgil Ave
Ste 205
Los Angeles, CA 90020
Phone (213) 380-0401
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DACIDD/Endpoint/DACIDD
- salem.lebada.1@27758.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Los Angeles, CA
- NPI 1316348253
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1598372666
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1124694625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201443",
"telephone_number": "213-805-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201443",
"telephone_number": "213-805-5822"
}
],
"practiceLocations": [
{
"address_1": "638 West Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "92832",
"country_code": "US",
"telephone_number": "213-805-5822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBADA",
"first_name": "SALEM",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2024-10-09",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E6020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.