Individual provider Active NPI

Richard M Salit, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1821150913
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G17297 Issued in CA
Practice address
6333 Wilshire Blvd Ste 409
Los Angeles, CA 90048-5722
Phone
(323) 653-7700
Fax
(323) 653-6409
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G17297 CA Primary

Addresses

Primary practice location

6333 Wilshire Blvd Ste 409
Los Angeles, CA 90048-5722

Mailing address

3337 Mountain Park Dr
Calabasas, CA 91302-2391
Phone (818) 223-9897

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000462 CA Practitioner - Dermatology 9133285935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6333 Wilshire Blvd
Suite 409
Los Angeles, CA 90048-5702
Phone (323) 653-7700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of tissue1-10
Removal of skin lesions136
Skin biopsy45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G17297CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Salit MD Inc Dermatology CurrentSince Sep 1, 2008 Accepting new patients
Forever Young, Inc. Dermatology PastSince Sep 1, 2008 Accepting new patients

Locations

6333 Wilshire Blvd
Ste 409
Los Angeles, CA 90048
Phone (323) 653-7700

3825 E Thousand Oaks Blvd
Ste R
Westlake Village, CA 91362
Phone (805) 497-7546

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1821150913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 MOUNTAIN PARK DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022391",
            "telephone_number": "818-223-9897",
            "fax_number": "818-225-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD STE 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485722",
            "telephone_number": "323-653-7700",
            "fax_number": "323-653-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIT",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G17297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.