Organization Active NPI

Cedars Family Medicine Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Irvine, CA
National Provider Identifier
1295297463
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
CEDARS FAMILY MEDICINE INC
Practice address
18021 Sky Park Cir Ste G
Irvine, CA 92614-6569
Phone
(949) 260-0744
Fax
(949) 260-0750
NPI assigned
Apr 4, 2019
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Christopher Edward Salem, DONPI 1124273313
Title
Ceo
Phone
(949) 260-0744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary

Addresses

Primary practice location

18021 Sky Park Cir Ste G
Irvine, CA 92614-6569

Mailing address

9330 Pecan St
Cypress, CA 90630-2931
Phone (949) 260-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200515002448 CA Part B Supplier - Clinic/Group Practice 7810328366 Receives reassigned benefits from 2 practitioners
Practice locations: Irvine, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0917693Cedars Family Medicine, Inc18021 Sky Park Circle, BLDG 68, Ste G, Irvine, CA 92614Certificate of waiverJul 23, 2026

National Provider Directory

National Provider Directory

Locations

18021 Sky Park Cir
Ste G
Irvine, CA 92614
Phone (949) 260-0744

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1295297463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PECAN ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302931",
            "telephone_number": "949-260-0744",
            "fax_number": "949-260-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 SKY PARK CIR STE G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146569",
            "telephone_number": "949-260-0744",
            "fax_number": "949-260-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-260-0744",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.