Active NPI
Susan Marie Salazar, MD
- Emergency Medicine Physician
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A60879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A60879 | Other | CA | MEDICAL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60879 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Zachary, D.O., P.C. | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Stephen R. Shea, M.D., Inc. | Emergency Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Emergency Medicine Physician
- San Pedro, CA
- NPI 1942239033
-
- Family Medicine Physician
- Fresno, CA
- NPI 1710592621
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1326079872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.