Active NPI
Amgad Salem, ARDMS,RVT,RDCS,NT
- Vascular Sonography Radiologic Technologist
- Garden Grove, CA
National Provider Identifier
1487051132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Mobile Ultrasound Company | Current | Accepting new patients | |
| Sam Soleymani Apex Imaging | Past | 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.
-
- Mobile Radiology Clinic/Center
- Anaheim, CA
- NPI 1821473893
-
- Clinic/Center
- Cerritos, CA
- NPI 1003314089
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.