Individual provider Active NPI

Amanda R. Salvado, MD

  • Otolaryngology Physician
  • Culver City, CA
National Provider Identifier
1194988154
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A91726 Issued in CA
Practice address
3831 Hughes Ave Ste 504
Culver City, CA 90232-6808
Phone
(310) 204-4111
Fax
(310) 204-4474
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A91726 CA Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 504
Culver City, CA 90232-6808

Mailing address

3831 Hughes Ave
Suite504
Culver City, CA 90232-6808
Phone (310) 204-1111

Other identifiers 1

IdentifierTypeStateIssuer
00A917260MedicaidCA

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
I20090715000725 CA Practitioner - Otolaryngology 1759433147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Head and NeckGroup PAC ID 9830367002, 6 clinicians

Practice addresses (Care Compare)

3831 Hughes Ave
Suite 504
Culver City, CA 90232-6808
Phone (310) 204-4111

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91726CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jul 1, 2009 Accepting new patients
Westside Head & Neck Otolaryngology CurrentSince Jun 1, 2011 Accepting new patients
THC - Orange County LLC Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients

Locations

3831 Hughes Ave
Ste 704
Culver City, CA 90232
Phone (310) 207-3320

3831 Hughes Ave
Ste 504
Culver City, CA 90232
Phone (310) 204-3376

File 54206
Los Angeles, CA 90074

1301 20th St
Ste 510
Santa Monica, CA 90404
Phone (310) 828-6165

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amanda.salvado@881.chartlogic.direct-ci.com
  • Direct secure messaging: asalvado48726@direct.uclahealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1194988154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326808",
            "telephone_number": "310-204-1111",
            "fax_number": "310-204-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326808",
            "telephone_number": "310-204-4111",
            "fax_number": "310-204-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADO",
        "first_name": "AMANDA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A91726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A917260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.