Individual provider Active NPI

Deborah Rhae Salom, DO

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1619947454
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8410 Issued in CA
Practice address
15100 Los Gatos Blvd Ste 4
Los Gatos, CA 95032-2028
Phone
(408) 495-5770
Fax
(650) 912-1129
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8410 CA Primary

Addresses

Primary practice location

15100 Los Gatos Blvd Ste 4
Los Gatos, CA 95032-2028

Mailing address

827 Altos Oaks Dr Ste 4
Los Altos, CA 94024-5490
Phone (408) 495-5770

Other practice location 1

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 772-7070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207001237 CA Practitioner - Family Practice 1951367366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patricia Sitnitsky PCGroup PAC ID 0446619852, 11 clinicians
Mark Twain Health Care DistrictGroup PAC ID 7810327657, 17 clinicians

Practice addresses (Care Compare)

15100 Los Gatos Blvd
Suite 4
Los Gatos, CA 95032-2028
Phone (408) 495-5770

51 Wellness Way
Valley Springs, CA 95252-9736
Phone (209) 772-7070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8410CAMDFamily Medicine Physician
3732AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Health Care District CurrentSince Apr 14, 2020 Accepting new patients
Patricia Sitnitsky PC CurrentSince Oct 1, 2025 Accepting new patients
Mark Twain Medical Center PastSince Apr 14, 2020 Accepting new patients

Locations

827 Altos Oaks Dr
Ste 4
Los Altos, CA 94024
Phone (408) 495-5770

15100 Los Gatos Blvd
Ste 4
Los Gatos, CA 95032
Phone (408) 358-6234

51 Wellness Way
Valley Springs, CA 95252
Phone (209) 772-7070

Interoperability endpoints

  • Direct secure messaging: deborah.salom.1@19210.direct.athenahealth.com
  • Direct secure messaging: deborah.salom@601886991843332.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1619947454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 ALTOS OAKS DR STE 4",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245490",
            "telephone_number": "408-495-5770",
            "fax_number": "650-912-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 LOS GATOS BLVD STE 4",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322028",
            "telephone_number": "408-495-5770",
            "fax_number": "650-912-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Valley Springs",
            "state": "CA",
            "postal_code": "952529736",
            "country_code": "US",
            "telephone_number": "209-772-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALOM",
        "first_name": "DEBORAH",
        "middle_name": "RHAE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.