Active NPI
Siranuysh Salmastyan, M.D.
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A132643
- Practice address
- 1401 S Grand Ave
Los Angeles, CA 90015-3010 - Phone
- (818) 645-0704
- NPI assigned
- Jul 8, 2011
- Last updated
- Jul 19, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A132643 | CA | Primary |
Addresses
Primary practice location
1401 S Grand Ave
Los Angeles, CA 90015-3010
Mailing address
706 E Harvard St
2
Glendale, CA 91205-1156
Phone (818) 645-0704
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132643 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Im-FSR Inc. | Current | Accepting new patients | |
| Careconnectmd Ca PC | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Hospitalist Group of Montebello Inc | Current | Accepting new patients | |
| Community Foundation Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2335 E Kashian Ln
Ste 450
Fresno, CA 93701
Phone (559) 233-7700
2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Hospitalist Physician
- Chino Hills, CA
- NPI 1154742229
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1902252364
-
dba Sante' Foundation Medical Group
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba California Hospital Medical Center - Los Angeles
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
- Home Health Agency
- North Hollywood, CA
- NPI 1245321751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1245527308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 E HARVARD ST",
"address_2": "2",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051156",
"telephone_number": "818-645-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153010",
"telephone_number": "818-645-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMASTYAN",
"first_name": "SIRANUYSH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A132643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.