Individual provider Active NPI

Victor Selag, PHARMD

  • Pharmacist
  • Torrance, CA
National Provider Identifier
1619262193
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48090 Issued in CA
Practice address
3433 Sepulveda Blvd
T0200
Torrance, CA 90505-2606
Phone
(310) 370-1021
Fax
(310) 370-1021
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48090 CA Primary

Addresses

Primary practice location

3433 Sepulveda Blvd
T0200
Torrance, CA 90505-2606

Mailing address

3433 Sepulveda Blvd
T0200
Torrance, CA 90505-2606
Phone (310) 370-1021

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
48090CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1619262193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 SEPULVEDA BLVD",
            "address_2": "T0200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052606",
            "telephone_number": "310-370-1021",
            "fax_number": "310-370-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 SEPULVEDA BLVD",
            "address_2": "T0200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052606",
            "telephone_number": "310-370-1021",
            "fax_number": "310-370-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELAG",
        "first_name": "VICTOR",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.