Organization Active NPI

Sasha Salloum, MD, Inc

  • Vascular Surgery Physician
  • San Diego, CA
National Provider Identifier
1265872873
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SASHA SALLOUM, MD, INC
Practice address
1250 Cleveland Ave
Suite A209
San Diego, CA 92103-7300
Phone
(858) 227-9260
Fax
(858) 408-3663
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Sasha Salloum, MD
Title
Owner
Phone
85852279260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1250 Cleveland Ave
Suite A209
San Diego, CA 92103-7300

Mailing address

1250 Cleveland Ave
Suite A209
San Diego, CA 92103-7300
Phone (858) 227-9260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1265872873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CLEVELAND AVE",
            "address_2": "SUITE A209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037300",
            "telephone_number": "858-227-9260",
            "fax_number": "858-408-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CLEVELAND AVE",
            "address_2": "SUITE A209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037300",
            "telephone_number": "858-227-9260",
            "fax_number": "858-408-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA SALLOUM, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "85852279260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.