Organization Active NPI

Svetlana G. Segal M.D.,PH.D.,Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1821110891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A38892 Issued in CA
Legal business name
SVETLANA G. SEGAL M.D.,PH.D.,CORPORATION
Practice address
6221 Wilshire Blvd
#210
Los Angeles, CA 90048-5201
Phone
(323) 651-3228
Fax
(323) 651-0280
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Svetlana Segal, M.D.,PH.D.
Title
Owner,Provider,President
Phone
(323) 651-3228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A38892 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd
#210
Los Angeles, CA 90048-5201

Mailing address

6221 Wilshire Blvd
#210
Los Angeles, CA 90048-5201
Phone (323) 651-3228

Other identifiers 1

IdentifierTypeStateIssuer
GR0057100MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821110891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "#210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-651-3228",
            "fax_number": "323-651-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "#210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-651-3228",
            "fax_number": "323-651-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVETLANA G. SEGAL M.D.,PH.D.,CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER,PROVIDER,PRESIDENT",
        "authorized_official_telephone_number": "323-651-3228",
        "authorized_official_credential": "M.D.,PH.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.