Active NPI
Yasser Salem MD Professional Corp
- Surgery Physician
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- YASSER SALEM MD PROFESSIONAL CORP
- Practice address
- 8101 Newman Ave Ste D
Huntington Beach, CA 92647-7042 - Phone
- (714) 545-5200
- Fax
- (714) 375-7933
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yasser H Salem, MD
- Title
- President
- Phone
- (714) 545-5200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
8101 Newman Ave Ste D
Huntington Beach, CA 92647-7042
Mailing address
PO Box 2393
Orange, CA 92859-0393
Phone (714) 545-5200
Other practice location 1
1401 N Tustin Ave Ste 350
Santa Ana, CA 92705-8658
Phone (714) 545-5200
Other practice location 2
631 S Brookhurst St Ste 214
Anaheim, CA 92804-3558
Phone (714) 545-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A72435 | Other | CA | MEDICAL LICENSE |
| WA72435A | Other | CA | IND MEDICARE PTAN |
| 1861555138 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 N Tustin Ave
Ste 350
Santa Ana, CA 92705
Phone (714) 558-8133
2621 S Bristol St
Ste 211
Santa Ana, CA 92704
Phone (714) 545-5200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFEBBD
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Huntington Beach, CA
- NPI 1306927124
-
- Physician Assistant
- Fountain Valley, CA
- NPI 1073009734
-
- Physician Assistant
- Huntington Beach, CA
- NPI 1386916229
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1407407059
-
- Physician Assistant
- Long Beach, CA
- NPI 1750043824
-
- Physician Assistant
- San Clemente, CA
- NPI 1861382772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727481600000",
"number": "1861555138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2393",
"city": "ORANGE",
"state": "CA",
"postal_code": "928590393",
"telephone_number": "714-545-5200",
"fax_number": "714-375-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 NEWMAN AVE STE D",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477042",
"telephone_number": "714-545-5200",
"fax_number": "714-375-7933"
}
],
"practiceLocations": [
{
"address_1": "1401 N Tustin Ave Ste 350",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927058658",
"country_code": "US",
"telephone_number": "714-545-5200",
"fax_number": "714-545-5250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "631 S Brookhurst St Ste 214",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928043558",
"country_code": "US",
"telephone_number": "714-545-5200",
"fax_number": "714-545-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YASSER SALEM MD PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "YASSER",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-545-5200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A72435",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND MEDICARE PTAN",
"identifier": "WA72435A",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861555138",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.