Active NPI
Clifford Segil, D.O.
- Neurology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A9399
- Practice address
- 2001 Santa Monica Blvd
860
Santa Monica, CA 90404-2102 - Phone
- (310) 828-3209
- Fax
- (310) 828-5165
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20A9399 | CA | Primary |
Addresses
Primary practice location
2001 Santa Monica Blvd
860
Santa Monica, CA 90404-2102
Mailing address
6029 Bristol Pkwy Ste 100
Culver City, CA 90230-4899
Phone (310) 417-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W14560C | Other | CA | PTAN |
| 20A9399 | Medicaid | CA | |
| W14560 | Other | CA | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2001 Santa Monica Blvd
Suite 1170W
Santa Monica, CA 90404-2122
Phone (310) 828-8838
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9399 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clifford Segil DO a Medical Corporation | Neurology | Current | Accepting new patients |
| Santa Monica Bay Area Physicians | Neurology | Past | Accepting new patients |
Locations
2001 Santa Monica Blvd
Ste 1170W
Santa Monica, CA 90404
Phone (310) 828-2212
2001 Santa Monica Blvd
Ste 1170
Santa Monica, CA 90404
Phone (310) 828-8838
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Neurology Physician
- Santa Monica, CA
- NPI 1316224025
-
- Neurology Physician
- Santa Monica, CA
- NPI 1700117546
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1457556581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 BRISTOL PKWY STE 100",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304899",
"telephone_number": "310-417-5900",
"fax_number": "310-410-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "860",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042102",
"telephone_number": "310-828-3209",
"fax_number": "310-828-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGIL",
"first_name": "CLIFFORD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "20A9399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "W14560C",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20A9399",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "W14560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.