Individual provider Active NPI

Ellika Marjan Salari, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
National Provider Identifier
1770103921
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A207210 Issued in CA
Practice address
4400 V St Ste 1102
Sacramento, CA 95817-1445
Phone
(916) 734-3331
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MT221126 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A207210 CA Primary
Surgery Physician 208600000X MT221126 PA

Addresses

Primary practice location

4400 V St Ste 1102
Sacramento, CA 95817-1445

Mailing address

4400 V St Ste 1102
Sacramento, CA 95817-1445
Phone (916) 734-3331

Other practice location 1

117 South 11th street
204 pavillion
Philadelphia, PA 19107
Phone (215) 503-3876

Other practice location 2

1015 Walnut St Ste 620
Philadelphia, PA 19107-5005
Phone (215) 955-6864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200608000144 PA Order and Referring Only - General SurgeryPractitioner - General Surgery 4082035647
I20220523002363 PA Order and Referring Only - PathologyPractitioner - Pathology 4082035647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT221126PAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1770103921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 V ST STE 1102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171445",
            "telephone_number": "916-734-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 V ST STE 1102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171445",
            "telephone_number": "916-734-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 South 11th street",
            "address_2": "204 pavillion",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-503-3876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Walnut St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075005",
            "country_code": "US",
            "telephone_number": "215-955-6864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALARI",
        "first_name": "ELLIKA",
        "middle_name": "MARJAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MT221126",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A207210",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT221126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.