Organization Active NPI

Robert B. Seltzer, M.D., Inc.

  • Preferred Provider Organization
  • Pasadena, CA
National Provider Identifier
1831360288
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
G30649 Issued in CA
Legal business name
ROBERT B. SELTZER, M.D., INC.
Practice address
960 E Green St
Suite 108
Pasadena, CA 91106-2401
Phone
(626) 449-3830
Fax
(626) 584-6532
NPI assigned
Mar 13, 2008
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Marilu Ramirez
Title
Business Office Supervisor
Phone
(626) 449-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X G30649 CA Primary

Addresses

Primary practice location

960 E Green St
Suite 108
Pasadena, CA 91106-2401

Mailing address

960 E Green St
Suite 108
Pasadena, CA 91106-2401
Phone (626) 449-3830

Other identifiers 1

IdentifierTypeStateIssuer
1437127099OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1831360288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-449-3830",
            "fax_number": "626-584-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 108",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-449-3830",
            "fax_number": "626-584-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. SELTZER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARILU",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "626-449-3830"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G30649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1437127099",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.