Individual provider Active NPI

Marc A Seftel, MD

  • Otolaryngic Allergy Physician
  • Santa Cruz, CA
National Provider Identifier
1457307761
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
A44368 Issued in CA
Practice address
550 Water St Ste a
Santa Cruz, CA 95060-4126
Phone
(831) 476-4414
Fax
(831) 476-0264
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A44368 CA
Pediatric Otolaryngology Physician 207YP0228X A44368 CA
Sleep Medicine (Otolaryngology) Physician 207YS0012X A44368 CA
Otology & Neurotology Physician 207YX0901X A44368 CA
Otolaryngic Allergy Physician 207YX0602X A44368 CA Primary

Addresses

Primary practice location

550 Water St Ste a
Santa Cruz, CA 95060-4126

Mailing address

550 Water St Ste a
Santa Cruz, CA 95060-4126
Phone (831) 476-4414

Other identifiers 1

IdentifierTypeStateIssuer
00A443680MedicaidCA

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
I20080717000286 CA Practitioner - Otolaryngology 1557365475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44368CAMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barker Seftel Spilman Gen PTRS Pediatric Otolaryngology Current Accepting new patients

Locations

243 Green Valley Rd
Ste B
Freedom, CA 95019
Phone (831) 724-9449

550 Water St
Ste A
Santa Cruz, CA 95060
Phone (831) 425-0420

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1457307761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604126",
            "telephone_number": "831-476-4414",
            "fax_number": "831-476-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604126",
            "telephone_number": "831-476-4414",
            "fax_number": "831-476-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEFTEL",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44368",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A44368",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "CA",
            "license": "A44368",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A44368",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "A44368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A443680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.