Active NPI
Bryn Heitzman Salt, MD
- Allergy & Immunology Physician
- San Diego, CA
National Provider Identifier
1467549345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A84721
- Practice address
- 10670 Wexford St
San Diego, CA 92131-3940 - Phone
- (858) 621-4010
- Fax
- (858) 621-4015
- NPI assigned
- Oct 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A84721 | CA | Primary |
| Pediatrics Physician | 208000000X | 44319 | CO |
Addresses
Primary practice location
10670 Wexford St
San Diego, CA 92131-3940
Mailing address
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BS8685096 | Other | CO | FEDERAL NARCOTICS ID |
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
- Allergy/Immunology
- Education
- University of California, Davis School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002
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 |
|---|---|---|---|
| 84721 | CA | MD | Clinical Social Worker |
| A84721 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients |
Locations
16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705
10670 Wexford St
San Diego, CA 92131
Phone (858) 621-4010
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Interoperability endpoints
- bsalt22298@sharphealthcare.direct-ci.com
Organizations & group practices 4
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
Pediatrics
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1467549345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10670 WEXFORD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313940",
"telephone_number": "858-621-4010",
"fax_number": "858-621-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10670 WEXFORD ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313940",
"telephone_number": "858-621-4010",
"fax_number": "858-621-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALT",
"first_name": "BRYN",
"middle_name": "HEITZMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A84721",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "44319",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL NARCOTICS ID",
"identifier": "BS8685096",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.