Individual provider Active NPI

Carolyn E. Selmer, DO

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1740368463
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A9120 Issued in CA
Practice address
77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480
Phone
(916) 920-2082
Fax
(916) 920-1430
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A9120 CA Primary

Addresses

Primary practice location

77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480

Mailing address

77 Cadillac Dr Ste 230
Sacramento, CA 95825-5480
Phone (916) 920-2082

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
I20050923000513 CA Practitioner - Obstetrics/Gynecology 6507890084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

900 Tharp Rd
Yuba City, CA 95993-9159
Phone (530) 844-5655

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9120CAMDObstetrics & Gynecology Physician
9120CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Permanente Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2023 Accepting new patients
Permanente Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 19, 2010 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 19, 2010 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2023 Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1800 Harrison St
Fl 7
Oakland, CA 94612

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1001 Riverside Ave
Roseville, CA 95678
Phone (916) 784-4050

1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

900 Tharp Rd
Yuba City, CA 95993
Phone (530) 844-5655

Interoperability endpoints

  • Direct secure messaging: carolyn.selmer.p1@direct.arch.nextgenshare.com

Organizations & group practices 7

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1740368463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255480",
            "telephone_number": "916-920-2082",
            "fax_number": "916-920-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255480",
            "telephone_number": "916-920-2082",
            "fax_number": "916-920-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMER",
        "first_name": "CAROLYN",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.