Look up the most recent NPI and PECOS records

Gary D. Salomon

Specialist

Other Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as GARY SALOMON.

Based on the most recent information from CMS, provider Gary D. Salomon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1821184524
Provider Type
Individual
Full Name
Salomon, Gary D.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/4/2006
Last Updated
3/7/2023

Contact Information

Practice Location

275 W Macarthur, Oakland, CA 94611-5641

(510) 752-1000

(415) 441-5853

Mailing Location

275 W Macarthur, Oakland, CA 94611-5641

(510) 752-1000

(415) 441-5853

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID G74659	Description Other	Issuer CA LICENSE California

Gary D. Salomon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Gross, Julie Anne

Rankin, Kenneth Ned

Garner, Susan Brooke

Ghannam, Anoulla

Brochard, Victor Albert

Dixon, Matthew R.

Morgan, Anna C.