SALAM F ALKASSPOOLES M D AMC (NPI# 1609118983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609118983 |
| Entity Type | Organization |
| Organization Name | SALAM F ALKASSPOOLES M D AMC |
| Practice Address |
11633 San Vicente Blvd Suite 314 Los Angeles CA 90049-6511 |
| Mailing Address |
11633 San Vicente Blvd Ste 314 Los Angeles CA 90049-6514 |
| Practice Telephone | 3102070020 |
| Practice Fax Number | 3102070030 |
| Mailing Telephone | 3102070020 |
| Mailing Fax Number | 3102070030 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | MR. SALAM F ALKASSPOOLES (PRESIDENT) |
| Authorized Official Telephone | 3106520092 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SALAM F ALKASSPOOLES M D AMC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00818020 | 05 |
| Street Address |
11633 SAN VICENTE BLVD SUITE 314 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607685 | Jonathan Torregosa Tiongson | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2006-05-18 |
| 1912480906 | Shangxin Yang | Spec/Tech, Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2018-09-14 |
| 1164941415 | Darius Terray Humphrey | Nurse Practitioner | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-09-18 |
| 1487172391 | Azadeh Tavari | Dentist | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-08-31 |
| 1891223210 | Peera Hemarajata | Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-05-30 |
| 1699226530 | Romney Mckenzie Humphries | Specialist | 11633 San Vicente Blvd, 4th Floor, Rear Building, Los Angeles, CA 90049-6511 | 2016-10-15 |
| 1194000216 | Alexandra Hazel Rudd-barnard | Clinical Neuropsychologist | 11633 San Vicente Blvd, 106, Los Angeles, CA 90049-6511 | 2011-10-20 |
| 1316239080 | Matthew Schneider Dpm Inc | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2011-05-12 |
| 1063716751 | Rashel J Tahzib Do Inc | Family Medicine | 11633 San Vicente Blvd, Suite 107, Los Angeles, CA 90049-6511 | 2011-01-10 |
| 1285953216 | Suzanne Alicia Chavez | Chiropractor | 11633 San Vicente Blvd, Suite 214, Los Angeles, CA 90049-6511 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310124 | Movn Pllc | Clinic/Center | 800 Wilshire Blvd Ste 200, Los Angeles, CA 90017-2608 | 2020-06-12 |
| 1194346387 | Tsoy Acupuncture and Oriental Medicine | Clinic/Center | 1745 Silver Lake Blvd, Los Angeles, CA 90026-1221 | 2020-04-29 |
| 1790304186 | Tatyana Rem | Clinic/Center | 1745 Silver Lake Bvld, Los Angeles, CA 90026-1221 | 2020-04-15 |
| 1255950424 | What's In It, LLC. | Clinic/Center | 10323 Woodbine St Apt 105, Los Angeles, CA 90034-3749 | 2020-04-08 |
| 1386287456 | Cpsn, Inc | Clinic/Center | 10700 Santa Monica Blvd Ste 309, Los Angeles, CA 90025-6587 | 2019-10-22 |
| 1548737794 | American Current Care of California, A Medical Corporation | Clinic/Center | 434 S San Vicente Blvd Ste 100, Los Angeles, CA 90048-4108 | 2018-10-25 |
| 1295201044 | Jwch Institute, Inc. | Clinic/Center | 500 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-10-19 |
| 1609359660 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1300 N Vermont Ave Ste 501, Los Angeles, CA 90027-6098 | 2018-09-14 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1518460658 | Aids Healthcare Foundation | Clinic/Center | 1811 N Western Ave, Los Angeles, CA 90027-3403 | 2018-03-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on SALAM F ALKASSPOOLES M D AMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.