Samuel Enrique Salcedo, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A126962 Issued in CA

Practice address

4226 Green River Rd Ste 101
Corona, CA 92878-3829

Phone

(951) 268-6168

Fax

(951) 268-7756

NPI assigned

Apr 25, 2012

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• The Plastics Doc, a Professional Corporation

  • Plastic and Reconstructive Surgery Physician
  • Corona, CA
  • NPI 1871297531
  NPD Authorized official
• Joseph K Ku MD, a Professional Corporation

  dba Precision Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Riverside, CA
  • NPI 1265610737
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1447518733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 GREEN RIVER RD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783829",
            "telephone_number": "951-268-6168",
            "fax_number": "951-268-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 GREEN RIVER RD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783829",
            "telephone_number": "951-268-6168",
            "fax_number": "951-268-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "SAMUEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A126962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Salazar, M.A.
• Diego Salazar
• Eileen Salazar
• Juan Manuel Salazar
• Maritsa Gizel Salazar
• Brenda Saldana
• Devin Saldana
• Khalid Saleh
• Monica Saleh, PHARM.D.
• Omar Saleh, M.D.

• Plastic Surgery Physician in Corona, CA
• Providers in Corona, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.