Individual provider Active NPI

Sangar Pillai Selva, MD

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1114957925
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A30944 Issued in CA
Practice address
2594 Stillmeadow Lane
Lancaster, CA 93536-5362
Phone
(661) 948-7496
Fax
(661) 310-1633
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A30944 CA Primary

Addresses

Primary practice location

2594 Stillmeadow Lane
Lancaster, CA 93536-5362

Mailing address

2594 Stillmeadow Lane
Lancaster, CA 93536-5362
Phone (661) 948-7496

Other identifiers 1

IdentifierTypeStateIssuer
00A309440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001174 CA Practitioner - Internal Medicine 4385547090 Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30944CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1114957925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 STILLMEADOW LANE",
            "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 STILLMEADOW LANE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365362",
            "telephone_number": "661-948-7496",
            "fax_number": "661-310-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVA",
        "first_name": "SANGAR",
        "middle_name": "PILLAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.