Saleh Medical Radiology and Endovascular

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

SALEH MEDICAL RADIOLOGY AND ENDOVASCULAR

Practice address

11760 Central Ave Ste 204
Chino, CA 91710-1909

Phone

(601) 918-3286

Fax

(909) 517-3073

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Omar SalehNPI 1124280375

Title

Owner

Phone

(601) 918-3286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21747/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Omar Saleh, M.D.

  • Vascular & Interventional Radiology Physician
  • Corona, CA
  • NPI 1124280375

  CA

  Medicare reassignment Authorized official
• Michael Hien Bien, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1689680654

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1356970529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 RODEO DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 CENTRAL AVE STE 204",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101909",
            "telephone_number": "601-918-3286",
            "fax_number": "909-517-3073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Fullerton Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813160",
            "country_code": "US",
            "telephone_number": "816-665-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALEH MEDICAL RADIOLOGY AND ENDOVASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-918-3286"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Chino, CA
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.