Physician Compare National (NPI:1578799193)

HEALTHCARE PROVIDER: SALAR DELDAR 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	1578799193
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476797614
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140609001659
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DELDAR
	Individual professional last name
Provider First Name	SALAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PHYSICAL MEDICINE AND REHABILITATION
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	23625 WR HOLMAN HWY
	Group Practice or individual's line 1 address
City	MONTEREY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	939405902
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050189
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GEORGE L MEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	051336
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050145
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y