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General NPI Number Information
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NPI Number | 1457939043
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Entity Type | Individual
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Provider Name | ASHKAN SALAMATIPOUR DO
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Gender | Male
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1000 VALE TERRACE DR
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City | VISTA
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State | CA
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Zip | 92084-5218
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Country | US
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Telephone | 760-631-5000
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Fax | 760-414-3892
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Provider Business Mailing Address
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Address Line | 1110 W MICHIGAN ST # LO200
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5209
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Country | US
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Telephone | 317-278-6513
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Fax | 317-274-4444
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A23095
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 20A23095
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License Number State | CA
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