Individual provider Active NPI

Susan Marie Salazar, MD

  • Emergency Medicine Physician
  • Emeryville, CA
National Provider Identifier
1902937956
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A60879 Issued in CA
Practice address
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone
(510) 350-2676
Fax
(510) 879-9100
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A60879 CA Primary

Addresses

Primary practice location

2100 Powell St Ste 900
Emeryville, CA 94608-1844

Mailing address

703 Pier Ave Ste B # 133
Hermosa Beach, CA 90254-3943
Phone (310) 963-1057

Other identifiers 1

IdentifierTypeStateIssuer
A60879OtherCAMEDICAL DOCTOR'S LICENSE

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
I20080414000290 CA Practitioner - Emergency Medicine 2163509290 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60879CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Zachary, D.O., P.C. CurrentSince Sep 1, 2021 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Stephen R. Shea, M.D., Inc. Emergency Medicine CurrentSince Nov 18, 2016 Accepting new patients
Stephen R Shea, M.D., Inc Emergency Medicine Current Accepting new patients

Locations

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Interoperability endpoints

  • Direct secure messaging: ssalazar@exer.direct.codonix.com

Organizations & group practices 5

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1902937956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE B # 133",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543943",
            "telephone_number": "310-963-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-350-2676",
            "fax_number": "510-879-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A60879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOCTOR'S LICENSE",
            "identifier": "A60879",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.