Individual provider Active NPI

Ava Septe T Salarda, N.P.

  • Gerontology Nurse Practitioner
  • Harbor City, CA
National Provider Identifier
1225307804
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP 21315 Issued in CA
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

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904003076 CA Practitioner - Nurse Practitioner 0446569917 Reassigns benefits to 8 organizations

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 Home health agency, Torrance, CA, CCN 059688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 21315CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carequest Solutions Nursing PC CurrentSince Mar 2, 2025 Accepting new patients
RPM Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Anthem Medical Specialists Inc CurrentSince Jun 15, 2025 Accepting new patients
Concierge Healthcare Services CurrentSince Sep 20, 2025 Accepting new patients
Vividerm Wound Care CurrentSince Mar 22, 2025 Accepting new patients
Prudent Healthcare Services Nursing CurrentSince May 31, 2024 Accepting new patients
Thrive Healthcare Solutions Nursing PC CurrentSince Mar 6, 2025 Accepting new patients
FM Woundcare Inc CurrentSince Feb 8, 2025 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Dignity Hospice ProviderCarson, CA, CCN A01633 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.

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.