Organization Active NPI

Salma Jesmin MD PLLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1205210218
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
33279 Issued in AZ
Legal business name
SALMA JESMIN MD PLLC
Practice address
3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909
Phone
(480) 718-5986
Fax
(480) 947-2494
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Salma Jesmin, MDNPI 1912115742
Title
Physician
Phone
(480) 718-5986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 33279 AZ Primary

Addresses

Primary practice location

3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909

Mailing address

3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909
Phone (480) 718-5986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150821014873 AZ Part B Supplier - Clinic/Group Practice 0042525883 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ; Peoria, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1205210218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516909",
            "telephone_number": "480-718-5986",
            "fax_number": "480-947-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516909",
            "telephone_number": "480-718-5986",
            "fax_number": "480-947-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMA JESMIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "JESMIN",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-718-5986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "33279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.