Individual provider Active NPI

Donald David Salis, M.D.

  • Family Medicine Physician
  • Norwalk, CA
National Provider Identifier
1164678355
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A29006 Issued in CA
Practice address
14359 Pioneer Blvd
Suite a
Norwalk, CA 90650-4850
Phone
(562) 864-7279
Fax
(562) 406-8606
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A29006 CA Primary

Addresses

Primary practice location

14359 Pioneer Blvd
Suite a
Norwalk, CA 90650-4850

Mailing address

14359 Pioneer Blvd
Suite a
Norwalk, CA 90650-4850
Phone (562) 864-7279

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
I20090605000573 CA Practitioner - Family Practice 0244380681 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A29006CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Mishal, Pham & Associates CurrentSince Mar 16, 2009 Accepting new patients
Ame Medical Group Inc Family Medicine PastSince Mar 16, 2009 Accepting new patients

Locations

8500 Florence Ave
Fl 2
Downey, CA 90240
Phone (562) 869-4579

14359 Pioneer Blvd
Ste A
Norwalk, CA 90650
Phone (562) 864-7279

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1164678355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 PIONEER BLVD",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504850",
            "telephone_number": "562-864-7279",
            "fax_number": "562-406-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14359 PIONEER BLVD",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504850",
            "telephone_number": "562-864-7279",
            "fax_number": "562-406-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIS",
        "first_name": "DONALD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A29006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.