Active NPI
Ava Septe T Salarda, N.P.
- Gerontology Nurse Practitioner
- Harbor City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP 21315
- Practice address
- 23200 Western Ave Apt 101
Harbor City, CA 90710-1054 - Phone
- (310) 528-0100
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP 21315 | CA | Primary |
Addresses
Primary practice location
23200 Western Ave Apt 101
Harbor City, CA 90710-1054
Mailing address
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703-9329
Phone (310) 528-0100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Anaheim, CA 92804
Phone (714) 442-3947
Hospital & facility affiliations
- Omnicare Home Health, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 21315 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carequest Solutions Nursing PC | Current | Accepting new patients | |
| RPM Medical Group | Current | Accepting new patients | |
| Anthem Medical Specialists Inc | Current | Accepting new patients | |
| Concierge Healthcare Services | Current | Accepting new patients | |
| Vividerm Wound Care | Current | Accepting new patients | |
| Prudent Healthcare Services Nursing | Current | Accepting new patients | |
| Thrive Healthcare Solutions Nursing PC | Current | Accepting new patients | |
| FM Woundcare Inc | Current | Accepting new patients | |
| JRD Medical Group | Past | Accepting new patients |
Locations
421 N Brookhurst St
Ste 228C
Anaheim, CA 92801
Phone (714) 765-2978
421 N Brookhurst St
Ste 224
Anaheim, CA 92801
Phone (562) 306-9739
421 N Brookhurst St
Ste 228J
Anaheim, CA 92801
Phone (562) 676-5671
421 N Brookhurst St
Ste 228B
Anaheim, CA 92801
Phone (310) 808-3410
438 E Katella Ave
Ste 226
Orange, CA 92867
Phone (760) 687-6968
1940 W Orangewood Ave
Ste 110
Orange, CA 92868
Phone (714) 978-2996
Interoperability endpoints
- ava.salarda.1@30710.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dignity Hospice Provider | Hospice | Corporate Officer (25%) Corporate Director (25%) |
Aug 24, 2015 Aug 24, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Carson, CA
- NPI 1427428788
Corporate Director, Corporate Officer
Organizations & group practices 9
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.
-
- Nursing Care Agency
- Orange, CA
- NPI 1740003714
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1497560858
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1649142282
-
- General Practice Physician
- Lomita, CA
- NPI 1982409579
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1770326969
-
- Family Medicine Physician
- Orange, CA
- NPI 1336890284
-
- Nurse Practitioner
- Anaheim, CA
- NPI 1851192371
-
- In Home Supportive Care Agency
- Corona, CA
- NPI 1407654189
-
- Internal Medicine Physician
- Orange, CA
- NPI 1891669982
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Torrance, CA
- NPI 1760724231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1225307804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR",
"address_2": "STE 150",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "310-528-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23200 WESTERN AVE APT 101",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907101054",
"telephone_number": "310-528-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALARDA",
"first_name": "AVA SEPTE",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "NP 21315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.