Salam F Alkasspooles M D AMC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SALAM F ALKASSPOOLES M D AMC

Practice address

11633 San Vicente Blvd
Suite 314
Los Angeles, CA 90049-6511

Phone

(310) 207-0020

Fax

(310) 207-0030

NPI assigned

Mar 25, 2013

Organization subpart

Yes

Parent organization

SALAM F ALKASSPOOLES M D AMCAs reported in NPPES

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

Authorized official

Name

Mr. Salam F Alkasspooles, M.D.NPI 1548319965

Title

President

Phone

(310) 652-0092

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Salam K Alkasspooles MD

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salam F Alkasspooles, MD

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1548319965
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1609118983",
    "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": {
        "organization_name": "SALAM F ALKASSPOOLES M D AMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALAM F ALKASSPOOLES M D AMC",
        "enumeration_date": "2013-03-25",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "ALKASSPOOLES",
        "authorized_official_first_name": "SALAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-652-0092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00818020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michal Saks
• Dane Saksa
• Vasana Saksom
• Ana Leticia Perly Sakurai
• Patricia Salaets, LCSW
• Smeer Salam, MD
• Caroline Salamanca Velasquez
• Arlene Salamanca
• Christina Elizabeth Salamanca, BA
• Samuel Salamanca

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.