Organization Active NPI

Melvin L. Selzer, MD, Inc

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1073539524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C18542 Issued in CA
Legal business name
MELVIN L. SELZER, MD, INC
Practice address
6967 Paseo Laredo
La Jolla, CA 92037-6425
Phone
(858) 459-1035
Fax
(858) 459-1021
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melvin L. Selzer, M.D.
Title
Pesident
Phone
(858) 459-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C18542 CA Primary

Addresses

Primary practice location

6967 Paseo Laredo
La Jolla, CA 92037-6425

Mailing address

6967 Paseo Laredo
La Jolla, CA 92037-6425
Phone (858) 459-1035

Other identifiers 1

IdentifierTypeStateIssuer
OOC1854210MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073539524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6967 PASEO LAREDO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376425",
            "telephone_number": "858-459-1035",
            "fax_number": "858-459-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6967 PASEO LAREDO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376425",
            "telephone_number": "858-459-1035",
            "fax_number": "858-459-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN L. SELZER, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELZER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PESIDENT",
        "authorized_official_telephone_number": "858-459-1035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C18542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOC1854210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.