Individual provider Active NPI

Marc A Hare, MD

  • Emergency Medicine Physician
  • La Jolla, CA
National Provider Identifier
1467482877
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A72618 Issued in CA
Practice address
9300 Campus Point Drive
La Jolla, CA 92037
Phone
(858) 657-7000
NPI assigned
Jul 3, 2006
Last updated
May 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A72618 CA Primary

Addresses

Primary practice location

9300 Campus Point Drive
La Jolla, CA 92037

Mailing address

File No 54826
Los Angeles, CA 90074-4826
Phone (888) 486-4380

Other identifiers 1

IdentifierTypeStateIssuer
00A726180MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000631 CA Practitioner - Emergency Medicine 6406981109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sasha Salloum MD Inc a Professional Medical CorporationGroup PAC ID 5991012130, 8 clinicians

Practice addresses (Care Compare)

1111 Broadway
Suite 305
Chula Vista, CA 91911-2700
Phone (619) 567-7007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue363
Removal of nail tissue15
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A72618CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sasha Salloum MD Inc a Professional Medical Corporation CurrentSince Sep 9, 2017 Accepting new patients
Vascular Associates of San Diego Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1111 Broadway
Ste 305
Chula Vista, CA 91911
Phone (619) 425-8212

1045 E Pennsylvania Ave
Escondido, CA 92025
Phone (760) 741-5466

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

6719 Alvarado Rd
Ste 303
San Diego, CA 92120
Phone (619) 286-9311

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1467482877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE NO 54826",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744826",
            "telephone_number": "888-486-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 CAMPUS POINT DRIVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-657-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A72618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A726180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.