Individual provider Active NPI

Ghada Hatim Saloha, NP

  • Primary Care Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1801528427
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95018549 Issued in CA
Practice address
6280 Jackson Dr Ste 9
San Diego, CA 92119-3436
Phone
(619) 303-3642
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 95018549 CA Primary

Addresses

Primary practice location

6280 Jackson Dr Ste 9
San Diego, CA 92119-3436

Mailing address

8149 Triplefin Way
Elk Grove, CA 95757-6441
Phone (512) 517-0673

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
I20230829002912 CA Practitioner - Nurse Practitioner 2961865605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Diego Dermatology Partners ApcGroup PAC ID 5294062345, 2 clinicians
Mismo Dermatology Group ApcGroup PAC ID 7012247414, 2 clinicians

Practice addresses (Care Compare)

19929 Greenley Rd
Sonora, CA 95370-5996
Phone (619) 303-3704

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018549CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mismo Dermatology Group Apc Single Specialty CurrentSince Jul 15, 2023 Accepting new patients
San Diego Dermatology Partners Apc Single Specialty CurrentSince Jul 15, 2023 Accepting new patients

Locations

7918 El Cajon Blvd
Ste N186
La Mesa, CA 91942
Phone (619) 303-3704

7918 El Cajon Blvd
Ste N
La Mesa, CA 91942
Phone (619) 228-3584

6280 Jackson Dr
Ste 4
San Diego, CA 92119
Phone (619) 303-3704

8898 Navajo Rd
Ste C
San Diego, CA 92119

8898 Navajo Rd
Ste C349
San Diego, CA 92119
Phone (619) 303-3704

8898 Navajo Rd
#C349
San Diego, CA 92119
Phone (214) 621-4303

6280 Jackson Dr
Ste 9
San Diego, CA 92119
Phone (619) 303-3642

19929 Greenley Rd
Sonora, CA 95370
Phone (209) 533-2500

Organizations & group practices 2

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1801528427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8149 TRIPLEFIN WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576441",
            "telephone_number": "512-517-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-303-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOHA",
        "first_name": "GHADA",
        "middle_name": "HATIM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95018549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.