Sasha Salloum MD Inc a Professional Medical Corporation

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A89300 Issued in CA

Legal business name

SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION

Doing business as

SS Vascular
South Bay Wound Care
WCC of Escondido1 more in Other names

Practice address

336 Oxford St Ste 104
Chula Vista, CA 91911-3121

Phone

(619) 567-3556

NPI assigned

Aug 10, 2015

Last updated

Nov 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Salloum, M.D.NPI 1124176151

Title

Officer and President

Phone

(619) 567-7007

Specialties & licenses 5

Addresses

Other names 4

• SS Vascular Doing business as
• South Bay Wound Care Doing business as
• WCC of Escondido Doing business as
• Wound Care Center of Escondido Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Charles Salloum, MD

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1124176151

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD Authorized official
• Sergio Guillermo Casillas Berumen, M.D.

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1437470762
  Medicare reassignment Care Compare group NPD
• Joseph H Chammas, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Diego, CA
  • NPI 1902888522
  Medicare reassignment Care Compare group NPD
• Marc A Hare, MD

  • Emergency Medicine Physician
  • La Jolla, CA
  • NPI 1467482877
  Medicare reassignment Care Compare group NPD
• Kristal Jaime, FNP-C

  • Family Nurse Practitioner
  • Imperial, CA
  • NPI 1255028205
  Medicare reassignment Care Compare group NPD
• Stefan Moldovan, M.D.

  • Surgery Physician
  • Escondido, CA
  • NPI 1245291624
  Medicare reassignment Care Compare group NPD
• Julia V Souvorova, D.P.M.

  • Foot Surgery Podiatrist
  • San Diego, CA
  • NPI 1114361029
  Medicare reassignment Care Compare group NPD
• Elie Touma, DPM

  • Foot & Ankle Surgery Podiatrist
  • Escondido, CA
  • NPI 1003379223
  Medicare reassignment Care Compare group NPD
• Alyssa Susanne Baker, NP

  • Nurse Practitioner
  • Escondido, CA
  • NPI 1942665237
  Medicare reassignment NPD
• Emi Misao Latham, M.D.

  • Emergency Medicine Physician
  • Escondido, CA
  • NPI 1871594903
  Medicare reassignment NPD
• Matthew Louis

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1316395726
  Medicare reassignment NPD
• Peri Kumiko Tresslar, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1548021512
  Medicare reassignment NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1578949889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254616",
            "telephone_number": "619-567-7007",
            "fax_number": "619-567-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 OXFORD ST STE 104",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113121",
            "telephone_number": "619-567-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Broadway Ste 305",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919112700",
            "country_code": "US",
            "telephone_number": "619-567-7007",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 E Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254616",
            "country_code": "US",
            "telephone_number": "760-884-4500",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SASHA SALLOUM MD INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OFFICER AND PRESIDENT",
        "authorized_official_telephone_number": "619-567-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A89300",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A89300",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A89300",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A89300",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SS Vascular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Bay Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WCC of Escondido",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wound Care Center of Escondido",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hussaina Yousuf Saria, MD
• Laith Sarsam
• Luay Sarsam, M.D.
• Robert A Sartor, M.D.
• Julian Sarza
• Erin Sauceda, CCC-SLP
• Sandra Angelica Saucedo-Salgado, LCSW
• Jeanette Abigail Saucedo
• Nayeli Alejandra Saucedo
• Samantha Lizett Saucedo

• Vascular Surgery Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.