GUSTAVO SALAS (PA) – Medical Physician Assistant, NPI 1215045059
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for GUSTAVO SALAS (PA)
P.O. BOX 12020
WESTMINSTER, CA 926852020
Phone: (888) 556-5617
Type: Mailing
2801, L Street, Midtown, Sacramento, Sacramento County, California, 95816, United States
SACRAMENTO, CA 95816
Phone: (916) 733-3003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2023-03-16 • Largest payer in this snapshot: ABBVIE INC. ($90).
Total Amount
$90
General + Research + Ownership
Payments
3
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050606000890 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 139 | 132 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 119 | 115 | $0 |
| 99291 | Critical care, first 30-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92685)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Internal Medicine | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | IL | |
| H O S P I T A L I S T | IL |
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