Salar Hakham, D.O., a Professional Corporation

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

SALAR HAKHAM, D.O., A PROFESSIONAL CORPORATION

Practice address

1417 West Beverly Blvd Suite 106
Montebello, CA 90640

Phone

(626) 657-8002

NPI assigned

Jul 16, 2025

Organization subpart

No

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

Authorized official

Name

Gabrielle Gonzalez

Title

Credentialing Officer

Phone

(909) 684-4404

Specialties & licenses 1

Addresses

Other names 1

• Salar Hakham, D.O., A Professional Corporation Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salar Hakham, D.O.

  • Vascular & Interventional Radiology Physician
  • Montebello, CA
  • NPI 1386960854
  Medicare reassignment NPD

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1215829122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S BEVERLY DR STE 345",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124822",
            "telephone_number": "626-657-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 WEST BEVERLY BLVD SUITE 106",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "626-657-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAR HAKHAM, D.O., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "909-684-4404"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salar Hakham, D.O., A Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Lee Saenz
• Richard Kiyoshi Sahara, D.D.S.
• Ronald Riyochi Sahara, D.D.S.
• Ebrahim Sajedi, MD
• Maria Esther Salado
• Ernest Steven Salazar, D.D.S.
• Shay S Salehrabi, DDS
• Sam Hae, Inc
• Sam S. Khorsandi,D.D.S., a Professional Corporation
• San Cristobal Medical Group Inc

• Vascular & Interventional Radiology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.