Individual provider Active NPI

Selcuk Adem Kahramanoglu

  • Health & Wellness Coach
  • Alpine, CA
National Provider Identifier
1265304745
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
2001 Tavern Rd
Alpine, CA 91901-3129
Phone
(619) 445-3245
NPI assigned
Sep 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CA Primary

Addresses

Primary practice location

2001 Tavern Rd
Alpine, CA 91901-3129

Mailing address

2001 Tavern Rd
Alpine, CA 91901-3129
Phone (619) 445-3245

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Union Elementary CurrentSince Sep 28, 2025 Accepting new patients

Locations

2001 Tavern Rd
Alpine, CA 91901
Phone (619) 445-3236

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1265304745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 TAVERN RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013129",
            "telephone_number": "619-445-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 TAVERN RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013129",
            "telephone_number": "619-445-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHRAMANOGLU",
        "first_name": "SELCUK",
        "middle_name": "ADEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.