Physician Compare National (NPI:1235345489)

HEALTHCARE PROVIDER: MOSES DAVID SALGADO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235345489
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799953261
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110728000115
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SALGADO
	Individual professional last name
Provider First Name	MOSES
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PACIFIC ENT MEDICAL GROUP, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1759280274
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6010 HIDDEN VALLEY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	CARLSBAD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920114219
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8587559343
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050503
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050324
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SCRIPPS MEMORIAL HOSPITAL LA JOLLA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y