Active NPI
Akash Selvam, BACHELORS OF SCIENCE
- Other Technician
- Fremont, CA
National Provider Identifier
1144996281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 42603 Hamilton Way
Fremont, CA 94538-5534 - Phone
- (510) 676-6979
- NPI assigned
- Aug 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
42603 Hamilton Way
Fremont, CA 94538-5534
Mailing address
42603 Hamilton Way
Fremont, CA 94538-5534
Phone (510) 676-6979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y4928407 | Other | CA | CALIFORNIA IDENTIFICATION CARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1144996281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42603 HAMILTON WAY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385534",
"telephone_number": "510-676-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42603 HAMILTON WAY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385534",
"telephone_number": "510-676-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELVAM",
"first_name": "AKASH",
"credential": "BACHELORS OF SCIENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA IDENTIFICATION CARD",
"identifier": "Y4928407",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.