Organization Active NPI

Sall Eye Research Medical Center

  • Ophthalmology Physician
  • Artesia, CA
National Provider Identifier
1932216157
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Aug 18, 2011

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G449020MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.