Organization Active NPI

Sangar P Selva a,M.D.,a Prof.Corp.

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1093053480
Registry record updated Jan 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A30944 Issued in CA
Legal business name
SANGAR P SELVA A,M.D.,A PROF.CORP.
Practice address
2594 Still Meadow LN
Lancaster, CA 93536-5362
Phone
(661) 948-7496
Fax
(661) 310-1633
NPI assigned
Jan 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2013

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

Authorized official

Name
Dr. Sangar Pillai Selva, M.D.
Title
President
Phone
(661) 948-7496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A30944 CA Primary

Addresses

Primary practice location

2594 Still Meadow LN
Lancaster, CA 93536-5362

Mailing address

2594 Still Meadow LN
Lancaster, CA 93536-5362
Phone (661) 948-7496

Other identifiers 1

IdentifierTypeStateIssuer
A00309440MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358640000000",
    "number": "1093053480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 STILL MEADOW LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365362",
            "telephone_number": "661-948-7496",
            "fax_number": "661-310-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 STILL MEADOW LN",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365362",
            "telephone_number": "661-948-7496",
            "fax_number": "661-310-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGAR P SELVA A,M.D.,A PROF.CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-20",
        "last_updated": "2013-01-20",
        "status": "A",
        "authorized_official_last_name": "SELVA",
        "authorized_official_first_name": "SANGAR",
        "authorized_official_middle_name": "PILLAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-948-7496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00309440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2013; 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.