Active NPI
Marc Salomon, MD
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 185936
- Practice address
- 1500 San Pablo St FL 2
Los Angeles, CA 90033-5313 - Phone
- (323) 442-8541
- NPI assigned
- Apr 13, 2017
- Last updated
- Oct 14, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 185936 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 275357 | MA |
Addresses
Primary practice location
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-6601
Other practice location 1
910 Prince St
Teaneck, NJ 07666-4636
Phone (201) 675-8416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rutgers New Jersey Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391
5 Summer Hill Dr
Hamilton, NJ 08620-9515
Phone (800) 825-5391
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185936 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Main Street PC | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Usc Radiology Associates | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1265529101
NJ
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1194989616
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697241600000",
"number": "1417481649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "626-457-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "323-442-8541"
}
],
"practiceLocations": [
{
"address_1": "910 Prince St",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "076664636",
"country_code": "US",
"telephone_number": "201-675-8416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALOMON",
"first_name": "MARC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-13",
"last_updated": "2023-10-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "185936",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "275357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; 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.