=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750469946
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | S SALMASSI MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 719 MAIN ST
-----------------------------------------------------
City | DELANO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93216-0026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-725-5877
-----------------------------------------------------
Fax | 661-725-4636
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 26 719 MAIN ST
-----------------------------------------------------
City | DELANO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93216-0026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-725-5877
-----------------------------------------------------
Fax | 661-725-4636
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FAMILY PHYSICIAN & PATHOLOGIST
-----------------------------------------------------
Name | DR. SADEGH SALMASSI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 661-725-5877
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | A39604
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207ZB0001X
-----------------------------------------------------
Taxonomy Name | Blood Banking & Transfusion Medicine Physician
-----------------------------------------------------
License Number | A39604
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207ZP0102X
-----------------------------------------------------
Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
-----------------------------------------------------
License Number | A39604
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 207ZI0100X
-----------------------------------------------------
Taxonomy Name | Immunopathology Physician
-----------------------------------------------------
License Number | A39604
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------