Individual provider Active NPI

Clive M. Segil, M.D.

  • Orthopaedic Surgery Physician
  • Encino, CA
National Provider Identifier
1215924808
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A26735 Issued in CA
Practice address
17777 Ventura Blvd Ste 230
Encino, CA 91316-3748
Phone
(818) 342-5490
Fax
(818) 342-5412
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A26735 CA Primary

Addresses

Primary practice location

17777 Ventura Blvd Ste 230
Encino, CA 91316-3748

Mailing address

17777 Ventura Blvd Ste 230
Encino, CA 91316-3748
Phone (818) 342-5490

Other practice location 1

5525 Etiwanda Ave Ste 324
Tarzana, CA 91356-6133
Phone (818) 708-9090

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
I20120118000391 CA Practitioner - Orthopedic Surgery 4981871811

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215924808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163748",
            "telephone_number": "818-342-5490",
            "fax_number": "818-342-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163748",
            "telephone_number": "818-342-5490",
            "fax_number": "818-342-5412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Etiwanda Ave Ste 324",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913566133",
            "country_code": "US",
            "telephone_number": "818-708-9090",
            "fax_number": "818-708-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGIL",
        "first_name": "CLIVE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A26735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.