Active NPI
Peter B Salamon, MD
- Orthopaedic Surgery Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C338090
- Practice address
- 2488 N California St
Stockton, CA 95204-5508 - Phone
- (209) 948-3333
- Fax
- (916) 948-2665
- NPI assigned
- Oct 26, 2005
- Last updated
- Jun 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C338090 | CA | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | C33809 | CA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | C33809 | CA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | C33809 | CA |
Addresses
Primary practice location
2488 N California St
Stockton, CA 95204-5508
Mailing address
4860 Y St
Acc #3800
Sacramento, CA 95817-2307
Phone (916) 734-8651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C338090 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C338090 | CA | MD | Orthopaedic Surgery Physician |
| C33809 | CA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of Ca | Current | Accepting new patients | |
| Alpine Orthopaedic Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
3850 G St
Merced, CA 95340
Phone (209) 384-6528
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4860 Y St
#3800
Sacramento, CA 95817
Phone (916) 734-2807
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2488 N California St
Stockton, CA 95204
Phone (209) 948-3333
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Stockton, CA
- NPI 1114005352
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- Pediatric Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1679915565
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Pediatric Critical Care Medicine Physician
- Sacramento, CA
- NPI 1104815067
-
dba Shriners Children's Hawaii
- Clinic/Center
- Aiea, HI
- NPI 1568299857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1851381131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "ACC #3800",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-8651",
"fax_number": "916-734-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045508",
"telephone_number": "209-948-3333",
"fax_number": "916-948-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMON",
"first_name": "PETER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "C338090",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "C33809",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "C33809",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "C33809",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C338090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.