Active NPI
Allen Joseph Selner, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Redondo Beach, CA
National Provider Identifier
1609935675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E1849
- Practice address
- 2850 Artesia Boulevard
Suite 204
Redondo Beach, CA 90278 - Phone
- (310) 793-1158
- Fax
- (818) 763-5061
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E1849 | CA | Primary |
Addresses
Primary practice location
2850 Artesia Boulevard
Suite 204
Redondo Beach, CA 90278
Mailing address
1600 Rosecrans Ave BLDG 7 #400
Manhattan Beach, CA 90266
Phone (310) 793-1158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953407790 | Other | CA | TAXONONOMY CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1849 | CA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1609935675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ROSECRANS AVE BLDG 7 #400",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-793-1158",
"fax_number": "818-763-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 ARTESIA BOULEVARD",
"address_2": "SUITE 204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90278",
"telephone_number": "310-793-1158",
"fax_number": "818-763-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELNER",
"first_name": "ALLEN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E1849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONONOMY CODE",
"identifier": "953407790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.