Individual provider Active NPI

Demmia Salarda

  • Nurse Practitioner
  • Paramount, CA
National Provider Identifier
1750892899
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
502023 Issued in CA
Practice address
15717 Paramount Blvd
Paramount, CA 90723-4377
Phone
(562) 531-2231
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 502023 CA Primary

Addresses

Primary practice location

15717 Paramount Blvd
Paramount, CA 90723-4377

Mailing address

12118 Smokie LN
Cerritos, CA 90703-6951

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
I20220429001552 CA Practitioner - Nurse Practitioner 4587051107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians
Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

2829 S Grand Ave
Los Angeles, CA 90007-3304
Phone (213) 699-7013

5831 Firestone Blvd
Suite E
South Gate, CA 90280-3718
Phone (562) 806-7545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
502023CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Current Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Dec 14, 2024 Accepting new patients
County of Los Angeles CurrentSince Jan 27, 2022 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Dec 14, 2024 Accepting new patients
County of Los Angeles CurrentSince Jan 27, 2022 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

2829 S Grand Ave
Los Angeles, CA 90007
Phone (213) 699-7000

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

Interoperability endpoints

  • Direct secure messaging: demmia.salarda.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 5

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1750892899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12118 SMOKIE LN",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234377",
            "telephone_number": "562-531-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALARDA",
        "first_name": "DEMMIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "502023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.