Active NPI
Nelly N Salem, M.D.
- Diagnostic Radiology Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A119378
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305 - Phone
- (650) 723-4000
- NPI assigned
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301092760 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 35.121297 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | A119378 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085025 | Medicaid | OH |
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
- Diagnostic Radiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8933 Activity Rd
San Diego, CA 92126-4427
Phone (858) 499-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092760 | MI | MD | Internal Medicine Physician |
| A119378 | CA | MD | Diagnostic Radiology Physician |
| 35.121297 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| San Diego Imaging-Chula Vista LLC | Current | Accepting new patients | |
| Hanford Community Hospital | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Adventist Health Tulare | Current | Accepting new patients | |
| San Diego Diagnostic Radiology Medical Group, Inc. | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients |
Locations
765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704
1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- nsalem114380@sharphealthcare.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Radiology Clinic/Center
- Chula Vista, CA
- NPI 1649207812
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- San Diego, CA
- NPI 1861788093
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1366698284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "94305",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "NELLY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301092760",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.121297",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A119378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0085025",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.