Individual provider Active NPI

Lindbergh Saladin

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1972132652
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1018 W Kings Ave
Phoenix, AZ 85023-3584
Phone
(781) 526-2388
NPI assigned
Apr 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1018 W Kings Ave
Phoenix, AZ 85023-3584

Mailing address

13832 N 32ND St Ste 124-126
Phoenix, AZ 85032-5613
Phone (781) 526-2388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420001950 AZ Practitioner - Physician Assistant 7618364761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Masters Mobile Physicians, PCGroup PAC ID 4082013982, 3 clinicians

Practice addresses (Care Compare)

Tempe, AZ 85283
Phone (520) 479-2111

13832 N 32ND St
C124
Phoenix, AZ 85032-5613
Phone (480) 234-3568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8370AZMDChiropractor

Organizations & group practices 2

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": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1972132652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13832 N 32ND ST STE 124-126",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325613",
            "telephone_number": "781-526-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W KINGS AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233584",
            "telephone_number": "781-526-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALADIN",
        "first_name": "LINDBERGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-05",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.