Individual provider Active NPI

Elizabeth Salada, M.D.

  • Internal Medicine Physician
  • Poway, CA
National Provider Identifier
1255396032
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G82274 Issued in CA
Practice address
15725 Pomerado Rd Ste 214
Poway, CA 92064-2060
Phone
(858) 312-5492
NPI assigned
Apr 17, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G82274 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 214
Poway, CA 92064-2060

Mailing address

15725 Pomerado Rd Ste 214
Poway, CA 92064-2060
Phone (858) 312-5492

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000183 CA Practitioner - Internal Medicine 0042319469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15725 Pomerado Rd
Suite 214
Poway, CA 92064-2060
Phone (858) 312-5492

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G82274CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Salada MD a Medical Corporation Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients
Palomar Health Past Accepting new patients
Sasha Salloum MD Inc a Professional Medical Corporation PastSince Nov 1, 2020 Accepting new patients
Graybill Medical Group Inc Internal Medicine PastSince Jul 1, 2017 Accepting new patients

Locations

15611 Pomerado Rd
Ste 510
Poway, CA 92064
Phone (858) 312-5459

15611 Pomerado Rd
Ste 520
Poway, CA 92064
Phone (858) 312-5492

15725 Pomerado Rd
Ste 214
Poway, CA 92064
Phone (858) 312-5492

Interoperability endpoints

  • Direct secure messaging: esalada32395@sharphealthcare.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1255396032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 214",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-312-5492",
            "fax_number": "858-312-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 214",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-312-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALADA",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G82274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.