Active NPI
Arthur I Segal, MD
- Gynecology Physician
- San Luis Obispo, CA
National Provider Identifier
1790787174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G27451
- Practice address
- 184 Casa St
San Luis Obispo, CA 93405-1804 - Phone
- (805) 544-4883
- Fax
- (805) 542-0827
- NPI assigned
- Aug 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G27451 | CA | Primary |
Addresses
Primary practice location
184 Casa St
San Luis Obispo, CA 93405-1804
Mailing address
184 Casa St
San Luis Obispo, CA 93405-1804
Phone (805) 544-4883
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC71033F | Medicaid | CA | |
| 160051728 | Other | RR MEDICARE PIN | |
| 770434767 93401 D002 | Other | CHAMPUS/TRICARE | |
| F70812F | Medicaid | CA | |
| 4158640001 | Other | NSC # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27451 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1790787174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 CASA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051804",
"telephone_number": "805-544-4883",
"fax_number": "805-542-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 CASA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051804",
"telephone_number": "805-544-4883",
"fax_number": "805-542-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "ARTHUR",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G27451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC71033F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "160051728",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "770434767 93401 D002",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F70812F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC #",
"identifier": "4158640001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.