Active NPI
Sall Eye Research Medical Center
- Ophthalmology Physician
- Artesia, CA
National Provider Identifier
1932216157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SALL EYE RESEARCH MEDICAL CENTER
- Practice address
- 11423 187TH Street
Suite 200
Artesia, CA 90701-5657 - Phone
- (562) 804-1974
- Fax
- (562) 804-4350
- NPI assigned
- Aug 24, 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
- Dr. Kenneth N Sall, M.D.
- Title
- Medical Director/Owner
- Phone
- (562) 804-1974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
11423 187TH Street
Suite 200
Artesia, CA 90701-5657
Mailing address
11423 187TH Street
Suite 200
Artesia, CA 90701-5657
Phone (562) 804-1974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G449020 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
11423 187th St
Artesia, CA 90701
Phone (562) 412-1340
11423 187th St
Ste 200
Artesia, CA 90701
Phone (562) 804-1974
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Artesia, CA
- NPI 1245483445
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1154312635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313625600000",
"number": "1932216157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11423 187TH STREET",
"address_2": "SUITE 200",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907015657",
"telephone_number": "562-804-1974",
"fax_number": "562-804-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11423 187TH STREET",
"address_2": "SUITE 200",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907015657",
"telephone_number": "562-804-1974",
"fax_number": "562-804-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALL EYE RESEARCH MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2011-08-18",
"status": "A",
"authorized_official_last_name": "SALL",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "562-804-1974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G449020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.