Individual provider Active NPI

Selina Poon, MD

  • Pediatric Orthopaedic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1184877003
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
141460 Issued in CA
Practice address
909 S Fair Oaks Ave
Pasadena, CA 91105-2625
Phone
(626) 389-9300
Fax
(626) 389-9336
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BB0016996 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X 141460 CA Primary

Addresses

Primary practice location

909 S Fair Oaks Ave
Pasadena, CA 91105-2625

Mailing address

909 S Fair Oaks Ave
Pasadena, CA 91105-2625
Phone (626) 389-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170615001455 CA Practitioner - Orthopedic Surgery 3678760485 Reassigns benefits to 1 organization
I20231025001939 HI Practitioner - Orthopedic Surgery 3678760485 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141460CAMDMarriage & Family Therapist
BB0016996TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery CurrentSince Jun 1, 2017 Accepting new patients
Shriners Hospitals for Children CurrentSince Aug 1, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2017 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Past Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients

Locations

909 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

1310 Punahou St
Honolulu, HI 96826
Phone (808) 941-4466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1184877003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052625",
            "telephone_number": "626-389-9300",
            "fax_number": "626-389-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052625",
            "telephone_number": "626-389-9300",
            "fax_number": "626-389-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POON",
        "first_name": "SELINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BB0016996",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "141460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.