Organization Active NPI

Victor E Seikaly MD a Professional Corporation

  • Specialist
  • La Mesa, CA
National Provider Identifier
1457575391
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A50852 Issued in CA
Legal business name
VICTOR E SEIKALY MD A PROFESSIONAL CORPORATION
Practice address
8860 Center Dr
Suite 310
La Mesa, CA 91942-7001
Phone
(619) 460-4000
Fax
(619) 667-0267
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Victor E Seiklay, MD
Title
Owner
Phone
(619) 460-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A50852 CA Primary

Addresses

Primary practice location

8860 Center Dr
Suite 310
La Mesa, CA 91942-7001

Mailing address

8860 Center Dr
Suite 310
La Mesa, CA 91942-7001
Phone (619) 460-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100507000177 CA Part B Supplier - Clinic/Group Practice 0143358481 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA

National Provider Directory

National Provider Directory

Locations

8860 Center Dr
Ste 310
La Mesa, CA 91942
Phone (619) 460-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1457575391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 310",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-460-4000",
            "fax_number": "619-667-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 310",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-460-4000",
            "fax_number": "619-667-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR E SEIKALY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "SEIKLAY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-460-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.