Active NPI
Ronald Elliott Salem, PSYD
- Group Psychotherapy Psychologist
- Diamond Bar, CA
National Provider Identifier
1720013246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- PSY12527
- Practice address
- 1370 Valley Vista Dr
Suite 104
Diamond Bar, CA 91765-3911 - Phone
- (909) 860-2166
- Fax
- (909) 860-5424
- NPI assigned
- Jul 12, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12527 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY12527 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PSY12527 | CA | |
| Psychologist | 103T00000X | PSY12527 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY12527 | CA | Primary |
Addresses
Primary practice location
1370 Valley Vista Dr
Suite 104
Diamond Bar, CA 91765-3911
Mailing address
1230 River LN
Santa Ana, CA 92706-1425
Phone (714) 543-4446
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12527 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tammy a Ouellette Psy.D. Apc | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- Fullerton, CA
- NPI 1528246394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720013246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 RIVER LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927061425",
"telephone_number": "714-543-4446",
"fax_number": "714-543-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 VALLEY VISTA DR",
"address_2": "SUITE 104",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653911",
"telephone_number": "909-860-2166",
"fax_number": "909-860-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "RONALD",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12527",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY12527",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "PSY12527",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12527",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY12527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.