DR. SAMUEL SALEN M.D.
NPI 1629073804
Radiology - Diagnostic Radiology in Pomona, CA
About Dr. Samuel Salen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL SALEN M.D. (NPI 1629073804) is an individual diagnostic radiology provider in Pomona, California, licensed in California (G20048) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samuel Salen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Samuel Salen reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irvine, CA 92602
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: On-Line Radiology Medical Group Inc
- 19 clinicians in this Medicare group
Cerritos, CA 90703
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Playa Del Rey, CA 90293
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: La Paz Regional Hospital Inc
- Also billed through NPI 1053684555 (Arizona)
- 113 clinicians in this Medicare group
Fresno, CA 93721
- Reassigned Medicare billing, California enrollment
- 85 clinicians in this Medicare group
Garberville, CA 95542
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1003819376 (California)
- 89 clinicians in this Medicare group
Lowville, NY 13367
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- 782 clinicians in this Medicare group
Brooklyn, NY 11213
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Interfaith Professional Physician Services PC
- 635 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Samuel Salen's NPI number?
The NPI number for Samuel Salen is 1629073804. It was assigned to this individual provider in the NPPES registry on June 15, 2005.
Where is Samuel Salen located?
Samuel Salen practices at 1902 Royalty Dr Ste 220, Pomona, CA 91767. The listed phone number is (909) 570-3108.
What is Samuel Salen's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Samuel Salen enrolled in Medicare?
Yes. Samuel Salen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Salen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Salen reassigns Medicare benefits to 9 organizations: Online Radiology Medical Group, Inc. (Irvine, CA), First Medical Center Inc (Cerritos, CA), Los Angeles Radiology Medical Associates, Inc. (Glendale, CA), Integrated Rehab Consultants California Inc (Playa Del Rey, CA), Central Valley Community Medical Imaging (Fresno, CA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Salen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Salen accept?
Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Samuel Salen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Salen was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Samuel Salen, M.D. · NPI 1629073804
Diagnostic Radiology physician in Pomona, California. Individual provider, active in the CMS NPPES registry since June 15, 2005.
## Identity
- **NPI:** 1629073804 (Entity type: Individual)
- **Enumerated:** June 15, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** G20048 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1902 ROYALTY DR, STE 220, Pomona, CA 91767-3056
- **Phone:** (909) 570-3108 · **Fax:** (909) 469-6741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Online Radiology Medical Group, Inc. (NPI 1699171678, Irvine, CA); First Medical Center Inc (NPI 1134297492, Cerritos, CA); Los Angeles Radiology Medical Associates, Inc. (NPI 1366525487, Glendale, CA); Integrated Rehab Consultants California Inc (NPI 1023449741, Playa Del Rey, CA); Central Valley Community Medical Imaging (NPI 1376637264, Fresno, CA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2008
- **Other identifiers:** Medicare PIN 0062004870 (CA); Medicare PIN 00G200480 (CA); Medicaid 00G200480 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629073804) · Data from the CMS NPPES public registry.