Individual provider Active NPI

Aaron Isaiah Salter, PA-C

  • Medical Physician Assistant
  • Long Beach, CA
National Provider Identifier
1679125231
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA57133 Issued in CA
Practice address
2010 E Carson St
Long Beach, CA 90807-3040
Phone
(562) 424-5450
NPI assigned
Jul 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA57133 CA Primary

Addresses

Primary practice location

2010 E Carson St
Long Beach, CA 90807-3040

Mailing address

1030 E Ocean Blvd Unit 501
Long Beach, CA 90802-5595
Phone (415) 606-4199

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926001068 CA Practitioner - Physician Assistant 9931439445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

1499 W 1St St
San Pedro, CA 90732-3255
Phone (310) 831-9482

2382 Crenshaw Blvd
Suite 5
Torrance, CA 90501-3333
Phone (310) 618-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57133CAMDGeneral Practice Dentistry
PA57133CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Urgent Care #3, Inc. CurrentSince Aug 30, 2021 Accepting new patients

Locations

2415 E Imperial Hwy
Brea, CA 92821
Phone (714) 255-1640

78965 Highway 111
Ste 100
La Quinta, CA 92253
Phone (706) 777-7847

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: asalter2586034@oc.providencedirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1679125231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E OCEAN BLVD UNIT 501",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025595",
            "telephone_number": "415-606-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073040",
            "telephone_number": "562-424-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "AARON",
        "middle_name": "ISAIAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-14",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA57133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.