Organization Active NPI

Norma C Salceda, M.D. Inc.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1790884633
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A33244 Issued in CA
Legal business name
NORMA C SALCEDA, M.D. INC.
Doing business as
St. Ana Womens Medical Clinic
Practice address
1535 S Western Ave Ste G
Los Angeles, CA 90006-4200
Phone
(323) 733-1885
Fax
(323) 733-1875
NPI assigned
Sep 21, 2006
Organization subpart
Yes
Parent organization
NORMA SALCEDA, M.D. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Dr. Norma C. Salceda, M.D.NPI 1336245802
Title
President
Phone
(323) 722-1885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A33244 CA Primary

Addresses

Primary practice location

1535 S Western Ave Ste G
Los Angeles, CA 90006-4200

Mailing address

3865 Jasmine Ave
Culver City, CA 90232-3105
Phone (310) 839-4381

Other identifiers 3

IdentifierTypeStateIssuer
05D0981362OtherCACLIA NUMBER
00A332441MedicaidCA
A33244OtherCACALIF. MEDICAL LICENSE

Other names 1

  • St. Ana Womens Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000772 CA Part B Supplier - Clinic/Group Practice 6800055013 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pacoima, CA; Los Angeles, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Norma C Salceda MD Inc2 organizations share this tax ID, including this one
Part of
Norma C Salceda MD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1790884633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 JASMINE AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323105",
            "telephone_number": "310-839-4381",
            "fax_number": "310-815-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 S WESTERN AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064200",
            "telephone_number": "323-733-1885",
            "fax_number": "323-733-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA C SALCEDA, M.D. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORMA SALCEDA, M.D. INC.",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "SALCEDA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-722-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D0981362",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A332441",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF. MEDICAL LICENSE",
            "identifier": "A33244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Ana Womens Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.