Active NPI
Pullad Salem
- Dentist
- Downey, CA
National Provider Identifier
1659870830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102153
- Practice address
- 10800 Paramount Blvd
Downey, CA 90241-3331 - Phone
- (562) 923-3714
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 102153 | CA | Primary |
Addresses
Primary practice location
10800 Paramount Blvd
Downey, CA 90241-3331
Mailing address
22 Brisbane Way
Irvine, CA 92612-2105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102153 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1659870830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRISBANE WAY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 PARAMOUNT BLVD",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902413331",
"telephone_number": "562-923-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "PULLAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.