Individual provider Active NPI

Selma Prechel, OD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1629252176
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A7165 Issued in CA
Practice address
515 S Beach Blvd Ste F
Anaheim, CA 92804-1812
Phone
(714) 995-7503
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A7165 CA Primary

Addresses

Primary practice location

515 S Beach Blvd Ste F
Anaheim, CA 92804-1812

Mailing address

515 S Beach Blvd Ste F
Anaheim, CA 92804-1812
Phone (714) 995-7503

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
I20080417000596 CA Practitioner - Family Practice 1850479791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fariborz Shams DO IncGroup PAC ID 9739267709, 3 clinicians

Practice addresses (Care Compare)

515 S Beach Blvd
Suite F
Anaheim, CA 92804-1812
Phone (714) 995-7503

Hospital & facility affiliations

  • All Elite Home Health, Inc. Home health agency, Glendale, CA, CCN 757331
  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Anaheim Community Hospital, LLC Hospital, Anaheim, CA, CCN 050854
  • Anaheim Healthcare Center, LLC Nursing home, Anaheim, CA, CCN 055984
  • Coventry Court Health Center Nursing home, Anaheim, CA, CCN 055983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A7165CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fariborz Shams, DO Inc. Internal Medicine CurrentSince Jul 16, 2002 Accepting new patients
Anaheim Memorial Medical Center PastSince Jul 16, 2002 Accepting new patients

Locations

515 S Beach Blvd
Ste F
Anaheim, CA 92804
Phone (714) 995-7503

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1629252176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S BEACH BLVD STE F",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041812",
            "telephone_number": "714-995-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S BEACH BLVD STE F",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041812",
            "telephone_number": "714-995-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECHEL",
        "first_name": "SELMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A7165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.