Individual provider Active NPI

Praveena Selvaduray, M.D., PH.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1568880102
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139421 Issued in CA
Practice address
2191 Market St Ste D
San Francisco, CA 94114-4314
Phone
(415) 943-4806
Fax
(415) 366-0386
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A139421 CA Primary

Addresses

Primary practice location

2191 Market St Ste D
San Francisco, CA 94114-4314

Mailing address

2191 Market St Ste D
San Francisco, CA 94114-4314
Phone (415) 943-4806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139421CAMDMarriage & Family Therapist
A139421CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1568880102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MARKET ST STE D",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941144314",
            "telephone_number": "415-943-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MARKET ST STE D",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941144314",
            "telephone_number": "415-943-4806",
            "fax_number": "415-366-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVADURAY",
        "first_name": "PRAVEENA",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.