Individual provider Active NPI

Chad Selph, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
National Provider Identifier
1538692850
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A187050 Issued in CA
Practice address
2320 Bath St Ste 208
Santa Barbara, CA 93105-5322
Phone
(805) 682-7984
NPI assigned
Apr 4, 2017
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD612286691 WA
Diagnostic Radiology Physician 2085R0202X A187050 CA Primary

Addresses

Primary practice location

2320 Bath St Ste 208
Santa Barbara, CA 93105-5322

Mailing address

1640 Wild Indigo Ter
Oviedo, FL 32766-8116
Phone (407) 620-2360

Other practice location 1

13001 E 17th Pl
Aurora, CO 80045-2570
Phone (720) 848-0000

Other practice location 2

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3945

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
I20231128002486 CA Practitioner - Diagnostic Radiology 9335496181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Pismo Beach, CA 93449
Phone (805) 461-7080

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

262 Posada LN
Templeton, CA 93465-4057
Phone (805) 434-1491

77 Casa St
Suite 102
San Luis Obispo, CA 93405-5804
Phone (805) 546-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187050CAMDDiagnostic Radiology Physician
MD612286691WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnetic Resonance Imaging of San Luis Obispo, Inc. Diagnostic Radiology CurrentSince Aug 14, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince May 29, 2024 Accepting new patients
Adventist Health Physicians Network Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1538692850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 WILD INDIGO TER",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327668116",
            "telephone_number": "407-620-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BATH ST STE 208",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055322",
            "telephone_number": "805-682-7984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E 17th Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452570",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3945",
            "fax_number": "757-594-3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELPH",
        "first_name": "CHAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD612286691",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A187050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.