DR. JONATHAN DANIEL SALK M.D.
NPI 1508077041
Psychiatry & Neurology - Psychosomatic Medicine in Los Angeles, CA

Active since May 25, 2007PECOS Enrolled
11980 SAN VICENTE BLVD, SUITE 810, LOS ANGELES, CA 90049(310) 824-0258(310) 824-7818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Daniel Salk M.d. NPPES

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

DR. JONATHAN DANIEL SALK M.D. (NPI 1508077041) is an individual psychosomatic medicine provider in Los Angeles, California, licensed in California (G 62404) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508077041
Entity TypeIndividualMale
Primary Taxonomy2084P0015X
Provider Legal NameDR. JONATHAN DANIEL SALKCredential: M.D.
Location Address11980 SAN VICENTE BLVD, SUITE 810Los Angeles, CA 90049-5012
Mailing Address11980 San Vicente Blvd, Suite 810Los Angeles, CA 90049-5012 · (310) 824-0258 · Fax (310) 824-7818
Fax(310) 824-7818
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508077041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
License Licensed in CA · G 62404
Definition
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
11980 SAN VICENTE BLVD, Los Angeles, CA 90049

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jonathan Daniel Salk M.d. 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049
Marriage & Family Therapist
11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049
Internal Medicine
11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049
Psychologist (Prescribing (Medical))
11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049
Family Medicine
11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049
Psychologist (Clinical)
11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049

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 Jonathan Salk's NPI number?

The NPI number for Jonathan Salk is 1508077041. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Jonathan Salk located?

Jonathan Salk practices at 11980 San Vicente Blvd Suite 810, Los Angeles, CA 90049. The listed phone number is (310) 824-0258.

What is Jonathan Salk's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Jonathan Salk enrolled in Medicare?

Yes. Jonathan Salk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Salk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.