Individual provider Active NPI

Salman Mehboob, M.D.

  • Interventional Cardiology Physician
  • Encinitas, CA
National Provider Identifier
1497841795
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A119955 Issued in CA
Practice address
700 Garden View CT Ste 204
Encinitas, CA 92024-2478
Phone
(760) 452-6334
Fax
(760) 634-9755
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD425449 PA
Cardiovascular Disease Physician 207RC0000X A119955 CA
Interventional Cardiology Physician 207RI0011X MD-41030 IA
Interventional Cardiology Physician 207RI0011X A119955 CA Primary

Addresses

Primary practice location

700 Garden View CT Ste 204
Encinitas, CA 92024-2478

Mailing address

621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone (712) 294-7020

Other practice location 1

801 5th St Ste 201
Sioux City, IA 51101-1326
Phone (712) 294-7020

Other identifiers 5

IdentifierTypeStateIssuer
41030OtherIAIOWA LICENSE
29785OtherNENEBRASKA LICENSE
013599200MedicaidMD
MD425449OtherPALICENSE #
A119955OtherCACALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NE, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150925000426 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9931207412 Reassigns benefits to 4 organizations
Practice locations: Encinitas, CA
I20180921002790 NE Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 9931207412 Reassigns benefits to 1 organization
I20240322003232 OR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9931207412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Coastal Cardiovascular Care IncGroup PAC ID 8921341645, shared by 2 NPIs, 5 clinicians
Scripps Cardiology Medical Group, Inc.Group PAC ID 3971547951, 18 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

700 Garden View CT
Suite 204
Encinitas, CA 92024-2478
Phone (760) 452-6334

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123

Hospital & facility affiliations

  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Coquille Valley Hospital Hospital, Coquille, OR, CCN 381312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting38
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425449PAMDCardiovascular Disease Physician
A119955CAMDInterventional Cardiology Physician
MD-41030IAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Aug 28, 2020 Accepting new patients
Coastal Cardiovascular Care Inc Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Cardiology Medical Group, Inc. Cardiovascular Disease CurrentSince Feb 16, 2020 Accepting new patients
McKenzie Physician Services LLC CurrentSince Feb 7, 2024 Accepting new patients
Faith Regional Physician Services, LLC Cardiovascular Disease CurrentSince Aug 28, 2020 Accepting new patients
Coastal Cardiovascular Care Inc Interventional Cardiology CurrentSince Sep 1, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Sep 20, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Bay Area Hospital District CurrentSince Sep 20, 2024 Accepting new patients
Meritus Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Scripps Health Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Scripps Health Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Health First Medical Care LLC PastSince Jul 9, 2012 Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease PastSince Sep 1, 2023 Accepting new patients
Mercy Medical Services Past Accepting new patients

Locations

320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104

477 N El Camino Real
Ste C204
Encinitas, CA 92024
Phone (760) 230-2256

700 Garden View Ct
Ste 204
Encinitas, CA 92024
Phone (760) 230-2256

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

9850 Genesee Ave
Ste 870
La Jolla, CA 92037
Phone (760) 452-6334

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Dept LA 25339
Pasadena, CA 91185

334 Via Vera Cruz
Ste 257
San Marcos, CA 92078
Phone (760) 510-1808

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: smehboob42114@scrippshlth.medalliesdirect.net
  • Direct secure messaging: salman.mehboob.1@17259.direct.athenahealth.com
  • Direct secure messaging: salman.mehboob.p20@direct.trinity-healthiowa.nextgenshare.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1497841795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE STE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "712-294-7020",
            "fax_number": "712-294-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-452-6334",
            "fax_number": "760-634-9755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 5th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011326",
            "country_code": "US",
            "telephone_number": "712-294-7020",
            "fax_number": "712-294-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHBOOB",
        "first_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD425449",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A119955",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "MD-41030",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A119955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "41030",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBRASKA LICENSE",
            "identifier": "29785",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013599200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "MD425449",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "A119955",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.