Samuel Salen, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G20048 Issued in CA

Practice address

1902 Royalty Dr
Ste 220
Pomona, CA 91767-3056

Phone

(909) 570-3108

Fax

(909) 469-6741

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NY, AZ3 enrollments

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 3

Merit-based Incentive Payment System (MIPS)

Final score

97.67 of 100Reported as group

Quality

100

Improvement activities

40

Cost

85.3

Merit-based Incentive Payment System (MIPS)

Final score

88.03 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Merit-based Incentive Payment System (MIPS)

Final score

84.42 of 100Reported as group

Quality

71.24

Improvement activities

40

Cost

75.68

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: ssalen182117@direct.llu.edu

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.

• On-Line Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Riverside, CA
  • NPI 1710158498
  Medicare reassignment Authorized official
• Central Valley Community Medical Imaging

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1376637264
  Medicare reassignment NPD
• First Medical Center Inc

  • Gastroenterology Physician
  • Cerritos, CA
  • NPI 1134297492

  Family Medicine

  Medicare reassignment NPD
• Los Angeles Radiology Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1366525487
  Medicare reassignment NPD
• Southern Humboldt Community Healthcare District

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1003819376
  Medicare reassignment NPD
• Brookdale Family Care Center, Inc.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1962459644

  Family Medicine

  Medicare reassignment NPD
• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1720028772
  Medicare reassignment NPD
• Interfaith Professional Physician Services, P.C.

  • Allergy Physician
  • Brooklyn, NY
  • NPI 1457643991

  Diagnostic Radiology

  Medicare reassignment NPD
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  Medicare reassignment NPD
• Pco PC

  • Diagnostic Radiology Physician
  • Lowville, NY
  • NPI 1881230563

  CA

  Medicare reassignment NPD
• Southern Humboldt Community Healthcare District

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1508192220
  NPD
• Southern Humboldt Community Healthcare District

  • Optometrist
  • Fortuna, CA
  • NPI 1952198012
  NPD

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1629073804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "STE 220",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673056",
            "telephone_number": "909-570-3108",
            "fax_number": "909-469-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "STE 220",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673056",
            "telephone_number": "909-570-3108",
            "fax_number": "909-469-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEN",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G20048",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G20048",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G20048",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G20048",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G200480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaily Salazar
• Christopher Joseph Salce
• Virginia Saldana
• Yanet Saldana
• Gilbert Angel Saldate
• Emily Salgado-Mares
• Maria E Salguero
• Michael Hany Salib, MD
• Leslie Salinas
• Nicolaus Ernst Salm

• Diagnostic Radiology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.

Verify at the official NPI Registry.