Individual provider Active NPI

Natasha Salazar, PA-C

  • Physician Assistant
  • Downey, CA
National Provider Identifier
1215401674
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56384 Issued in CA
Practice address
11480 Brookshire Ave Ste 309
Downey, CA 90241-5025
Phone
(562) 869-1201
Fax
(562) 869-1281
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56384 CA Primary

Addresses

Primary practice location

11480 Brookshire Ave Ste 309
Downey, CA 90241-5025

Mailing address

18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone (562) 735-3226

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200418000222 CA Practitioner - Physician Assistant 9830529635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Oncology Institute Ca, a Professional CorporationGroup PAC ID 5698872398, 114 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 214
Fountain Valley, CA 92708-7511
Phone (714) 594-7820

399 E Highland Ave
Suite 501
San Bernardino, CA 92404-3879
Phone (909) 982-4252

4646 Brockton Ave
Suite 203
Riverside, CA 92506-0104
Phone (951) 394-7028

900 S Main St
Suite 204
Corona, CA 92882-3401
Phone (951) 372-2400

999 N Tustin Ave
Suite 212
Santa Ana, CA 92705-6506
Phone (714) 542-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56384CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: natasha.salazar@theoncologyinstitute.ikm.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1215401674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 800",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032671",
            "telephone_number": "562-735-3226",
            "fax_number": "562-869-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415025",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "NATASHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.