Active NPI
George Yousef Salameh, M.D.
- Emergency Medicine Physician
- San Diego, CA
National Provider Identifier
1497783039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A43959
- Practice address
- 4077 Fifth Ave
San Diego, CA 92103-2105 - Phone
- (619) 260-7000
- Fax
- (619) 260-7050
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A43959 | CA | Primary |
Addresses
Primary practice location
4077 Fifth Ave
San Diego, CA 92103-2105
Mailing address
14023 Caminito Vistana
San Diego, CA 92130-3720
Phone (858) 538-7458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A439590 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43959 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Emergency Providers, a Prof. Corp. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1497790539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1497783039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14023 CAMINITO VISTANA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303720",
"telephone_number": "858-538-7458",
"fax_number": "858-484-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 FIFTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032105",
"telephone_number": "619-260-7000",
"fax_number": "619-260-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMEH",
"first_name": "GEORGE",
"middle_name": "YOUSEF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A43959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A439590",
"state": "CA"
}
],
"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 Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.