Active NPI
John S Seder, MD
- Nuclear Medicine Physician
- Ventura, CA
National Provider Identifier
1679506018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- G29912
- Practice address
- 147 N Brent St
Ventura, CA 93003-2809 - Phone
- (805) 682-7744
- Fax
- (805) 682-3321
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | G29912 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G29912 | CA |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003-2809
Mailing address
2320 Bath St Ste 208
Santa Barbara, CA 93105-5322
Phone (805) 682-7984
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G29912 0 | Other | CA | BS OF CA |
| 00G299120 | Other | CA | BLUE SHIELD |
| 1679506018 | Medicaid | CA | |
| 00G299121 | Medicaid | CA | |
| 005299121 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Radiology Medical Group Inc | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients | |
| California Managed Imaging Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nuclear Medicine Physician
- Ventura, CA
- NPI 1578596912
-
- Vascular & Interventional Radiology Physician
- Santa Barbara, CA
- NPI 1821271727
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Diagnostic Radiology Physician
- Santa Barbara, CA
- NPI 1871549899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1679506018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 BATH ST STE 208",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931055322",
"telephone_number": "805-682-7984",
"fax_number": "805-682-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-682-7744",
"fax_number": "805-682-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDER",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "G29912",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G29912",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF CA",
"identifier": "00G29912 0",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G299120",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679506018",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G299121",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005299121",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.