Organization Active NPI

Salutogenesis

  • Internal Medicine Physician
  • Oceanside, CA
National Provider Identifier
1417601345
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALUTOGENESIS
Practice address
2424 Vista Way Ste 106
Oceanside, CA 92054-6178
Phone
(858) 382-1737
Fax
(888) 375-3099
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Sabiha Pasha, MDNPI 1871529461
Title
Owner of the Entity
Phone
(858) 382-1737

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2424 Vista Way Ste 106
Oceanside, CA 92054-6178

Mailing address

300 Carlsbad Village Dr # 108a-133
Carlsbad, CA 92008-2900
Phone (858) 382-1737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220324001611 CA Part B Supplier - Clinic/Group Practice 2163817396 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

300 Carlsbad Village Dr
#108A133
Carlsbad, CA 92008

300 Carlsbad Village Dr
Ste 108A133
Carlsbad, CA 92008

2424 Vista Way
Ste 106
Oceanside, CA 92054
Phone (760) 732-1166

27720 Jefferson Ave
Ste 200
Temecula, CA 92590
Phone (760) 796-3758

Practitioners & affiliated clinicians

Practitioners 4

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": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1417601345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR # 108A-133",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082900",
            "telephone_number": "858-382-1737",
            "fax_number": "888-375-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 VISTA WAY STE 106",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546178",
            "telephone_number": "858-382-1737",
            "fax_number": "888-375-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTOGENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "PASHA",
        "authorized_official_first_name": "SABIHA",
        "authorized_official_title_or_position": "OWNER OF THE ENTITY",
        "authorized_official_telephone_number": "858-382-1737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.