Active NPI
Salvatore Tarantino, M.D.
- Internal Medicine Physician
- La Mesa, CA
National Provider Identifier
1174581458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A41845
- Practice address
- 8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942 - Phone
- (619) 462-5555
- Fax
- (619) 462-5572
- NPI assigned
- May 3, 2006
- Last updated
- Nov 11, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A41845 | CA | Primary |
Addresses
Primary practice location
8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942
Mailing address
8881 Fletcher Pkwy
Ste 370
La Mesa, CA 91942-3134
Phone (619) 462-5555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | salvatoretarantino@cpm.allscriptsdirect.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8881 Fletcher Pkwy
Suite 370
La Mesa, CA 91942-6103
Phone (619) 462-5555
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41845 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher C. Bradley MD PHD, a Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- starantino32516@sharphealthcare.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- La Mesa, CA
- NPI 1669680559
-
- Exclusive Provider Organization
- La Mesa, CA
- NPI 1306022686
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1174581458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY",
"address_2": "STE 370",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "619-462-5555",
"fax_number": "619-462-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY",
"address_2": "STE 370",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-462-5555",
"fax_number": "619-462-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANTINO",
"first_name": "SALVATORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A41845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "salvatoretarantino@cpm.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8881 Fletcher Pkwy",
"address_2": "Ste 370",
"city": "LA Mesa",
"state": "CA",
"country_code": "US",
"postal_code": "91942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.