Active NPI
Salam F Alkasspooles, MD
- Infectious Disease Physician
- Los Angeles, CA
National Provider Identifier
1548319965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G81802
- Practice address
- 11633 San Vicente Blvd
Suite 314
Los Angeles, CA 90049-6511 - Phone
- (310) 207-0020
- Fax
- (310) 207-0030
- NPI assigned
- Jan 9, 2007
- Last updated
- Jan 24, 2019
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G81802 | CA | Primary |
Addresses
Primary practice location
11633 San Vicente Blvd
Suite 314
Los Angeles, CA 90049-6511
Mailing address
11633 San Vicente Blvd Ste 314
Los Angeles, CA 90049-6514
Phone (310) 207-0020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G81802 | Other | CA | LICENSE |
| 00G818020 | Medicaid | CA |
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
- Infectious Disease
- Education
- Wayne State University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11633 San Vicente Blvd
Suite 314
Los Angeles, CA 90049-6511
11633 San Vicente Blvd
Suite 314
Los Angeles, CA 90049-6514
Phone (310) 207-0020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 91.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1609118983
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Burbank, CA
- NPI 1801367461
-
dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1548319965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11633 SAN VICENTE BLVD STE 314",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496514",
"telephone_number": "310-207-0020",
"fax_number": "310-207-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 SAN VICENTE BLVD",
"address_2": "SUITE 314",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496511",
"telephone_number": "310-207-0020",
"fax_number": "310-207-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKASSPOOLES",
"first_name": "SALAM",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G81802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G81802",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G818020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.