Individual provider Active NPI

William Kent Seltzer, PH.D., F.A.C.M.G.

  • Ph.D. Medical Genetics
  • San Mateo, CA
National Provider Identifier
1649485616
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
DRN00000038 Issued in CA
Practice address
111 W 3Rd Ave
Apt. 305
San Mateo, CA 94402-1561
Phone
(508) 277-7547
NPI assigned
May 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X SELTW1 NY
Ph.D. Medical Genetics 170100000X 25MS00007900 NJ
Ph.D. Medical Genetics 170100000X 1052CLS MT
Ph.D. Medical Genetics 170100000X DRN00000038 CA Primary

Addresses

Primary practice location

111 W 3Rd Ave
Apt. 305
San Mateo, CA 94402-1561

Mailing address

111 W 3Rd Ave
Apt. 305
San Mateo, CA 94402-1561
Phone (508) 277-7547

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 Philosophy

State licenses

LicenseStateTypeSpecialty
DRN00000038CAMDPh.D. Medical Genetics
1052CLSMTMDPh.D. Medical Genetics
25MS00007900NJMDPh.D. Medical Genetics
SELTW1NYMDPh.D. Medical Genetics

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1649485616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE",
            "address_2": "APT. 305",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021561",
            "telephone_number": "508-277-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 3RD AVE",
            "address_2": "APT. 305",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021561",
            "telephone_number": "508-277-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELTZER",
        "first_name": "WILLIAM",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PH.D., F.A.C.M.G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "SELTW1",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NJ",
            "license": "25MS00007900",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "MT",
            "license": "1052CLS",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "CA",
            "license": "DRN00000038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.