Individual provider Active NPI

Carla Saldibar, P.A.

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1689746802
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15868 Issued in CA
Practice address
100 UCLA Medical PLZ
Suite 383
Los Angeles, CA 90024-6970
Phone
(361) 098-3102
Fax
(310) 983-1034
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15868 CA Primary

Addresses

Primary practice location

100 UCLA Medical PLZ
Suite 383
Los Angeles, CA 90024-6970

Mailing address

100 UCLA Medical PLZ
Suite 383
Los Angeles, CA 90024-6970
Phone (310) 983-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15868CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medicina Familiar Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1689746802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 383",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "310-983-1023",
            "fax_number": "310-983-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 383",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "361-098-3102",
            "fax_number": "310-983-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDIBAR",
        "first_name": "CARLA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.