Organization Active NPI

Amanda Salvado, MD. Inc

  • Otolaryngology Physician
  • Culver City, CA
National Provider Identifier
1598074247
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A91726 Issued in CA
Legal business name
AMANDA SALVADO, MD. INC
Practice address
3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751
Phone
(310) 204-4111
Fax
(310) 204-4474
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Amanda Reece Salvado, MD
Title
Medical Doctor/Owner
Phone
(310) 204-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X A91726 CA Primary

Addresses

Primary practice location

3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751

Mailing address

3831 Hughes Ave
Suite 504
Culver City, CA 90232-2751
Phone (310) 204-4111

Other identifiers 1

IdentifierTypeStateIssuer
00A917260MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1598074247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-204-4111",
            "fax_number": "310-204-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-204-4111",
            "fax_number": "310-204-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA SALVADO, MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "SALVADO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "REECE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "310-204-4111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A91726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A917260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.