Individual provider Active NPI

Annette E Saldana, M.D.

  • General Practice Physician
  • Reseda, CA
National Provider Identifier
1205883527
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A83630 Issued in CA
Practice address
18518 Sherman Way
Reseda, CA 91335-4212
Phone
(818) 757-0954
Fax
(818) 757-0963
NPI assigned
May 30, 2006
Last updated
Mar 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A83630 CA Primary

Addresses

Primary practice location

18518 Sherman Way
Reseda, CA 91335-4212

Mailing address

18518 Sherman Way
Reseda, CA 91335-4212
Phone (818) 757-0954

Other practice location 1

290 E Verdugo Ave Ste 206
Burbank, CA 91502-1342
Phone (818) 757-0954

Other identifiers 1

IdentifierTypeStateIssuer
00A836300MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annette.saldana.1@25605.direct.athenahealth.com 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803002590 CA Practitioner - General PracticePractitioner - Pediatric Medicine 9032115092 Reassigns benefits to 1 organization

National Provider Directory

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: annette.saldana.1@25605.direct.athenahealth.com
  • Direct secure messaging: annette.saldana.p85@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1205883527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354212",
            "telephone_number": "818-757-0954",
            "fax_number": "818-757-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354212",
            "telephone_number": "818-757-0954",
            "fax_number": "818-757-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 E Verdugo Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021342",
            "country_code": "US",
            "telephone_number": "818-757-0954",
            "fax_number": "818-757-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALDANA",
        "first_name": "ANNETTE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A83630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A836300",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annette.saldana.1@25605.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18518 Sherman Way",
            "city": "Reseda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913354212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.