Provider Demographics
NPI:1750469946
Name:S SALMASSI MD INC
Entity Type:Organization
Organization Name:S SALMASSI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PHYSICIAN & PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SADEGH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-725-5877
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:719 MAIN ST
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0026
Mailing Address - Country:US
Mailing Address - Phone:661-725-5877
Mailing Address - Fax:661-725-4636
Practice Address - Street 1:719 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93216-0026
Practice Address - Country:US
Practice Address - Phone:661-725-5877
Practice Address - Fax:661-725-4636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39604207Q00000X, 207ZB0001X, 207ZI0100X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Multi-Specialty
Not Answered207ZI0100XAllopathic & Osteopathic PhysiciansPathologyImmunopathologyGroup - Multi-Specialty
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00821396040Medicare ID - Type Unspecified
A28919Medicare UPIN