Individual provider Active NPI

Amgad Salem, ARDMS,RVT,RDCS,NT

  • Vascular Sonography Radiologic Technologist
  • Garden Grove, CA
National Provider Identifier
1487051132
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
Practice address
12092 Movius Dr
Garden Grove, CA 92840-2930
Phone
(714) 595-9012
NPI assigned
Nov 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X Primary

Addresses

Primary practice location

12092 Movius Dr
Garden Grove, CA 92840-2930

Mailing address

12092 Movius Dr
Garden Grove, CA 92840-2930
Phone (714) 595-9012

Other practice location 1

2740 W Ball Rd # G4
Anaheim, CA 92804
Phone (714) 595-9012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Mobile Ultrasound Company CurrentSince Oct 1, 2020 Accepting new patients
Sam Soleymani Apex Imaging PastSince Apr 30, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1487051132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12092 MOVIUS DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402930",
            "telephone_number": "714-595-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12092 MOVIUS DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928402930",
            "telephone_number": "714-595-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 W BALL RD # G4",
            "address_purpose": "LOCATION",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "country_code": "US",
            "telephone_number": "714-595-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEM",
        "first_name": "AMGAD",
        "credential": "ARDMS,RVT,RDCS,NT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.