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SALLY AMMAR
NPI 1053733543
Physician Assistant in Wilmington, CA

Active since January 17, 2014PECOS Enrolled
714 AVALON BLVD, WILMINGTON, CA 90744(310) 522-4200 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Ammar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY AMMAR (NPI 1053733543) is an individual physician assistant in Wilmington, California, licensed in California (51345) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053733543
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSALLY AMMAR
Location Address714 AVALON BLVDWilmington, CA 90744
Mailing Address468 N Camden Dr # 200Beverly Hills, CA 90210-4507 · (310) 292-9292
Phone(310) 522-4200
Sole ProprietorYes
Enumeration DateJanuary 17, 2014
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1053733543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 51345
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
714 AVALON BLVD, Wilmington, CA 90744
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Ammar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Ammar's NPI number?

The NPI number for Sally Ammar is 1053733543. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Where is Sally Ammar located?

Sally Ammar practices at 714 Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 522-4200.

What is Sally Ammar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sally Ammar enrolled in Medicare?

Yes. Sally Ammar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Ammar was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.