Organization Active NPI

Arthur Selvan, MD; Inc.

  • Medical Specialty Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1679801757
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G364760 Issued in CA
Legal business name
ARTHUR SELVAN, MD; INC.
Practice address
1200 N Tustin Ave
Suite 260
Santa Ana, CA 92705-3508
Phone
(714) 543-9855
Fax
(714) 543-8553
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Arthur Selvan, M.D.
Title
Corporation Owner
Phone
(714) 543-9855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G364760 CA Primary

Addresses

Primary practice location

1200 N Tustin Ave
Suite 260
Santa Ana, CA 92705-3508

Mailing address

1200 N Tustin Ave
Suite 260
Santa Ana, CA 92705-3508
Phone (714) 543-9855

Other identifiers 1

IdentifierTypeStateIssuer
00G36760MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1679801757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 260",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-543-9855",
            "fax_number": "714-543-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 260",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-543-9855",
            "fax_number": "714-543-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR SELVAN, MD; INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "SELVAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CORPORATION OWNER",
        "authorized_official_telephone_number": "714-543-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G364760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G36760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.