James Selevan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G29913 Issued in CA

Practice address

1661 Sunset Ridge Dr
Laguna Beach, CA 92651-1241

Phone

(949) 233-1133

NPI assigned

May 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1861840142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SUNSET RIDGE DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511241",
            "telephone_number": "949-233-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SUNSET RIDGE DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511241",
            "telephone_number": "949-233-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEVAN",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G29913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail T. Schoenau, M.D.
• Stephen M Schott, D.D.S. INC
• Bernard Sherman Schwartz, PH.D.
• Sophia Elizabeth Seidensticker
• Denise L Sekins, C.F.N.P
• Kathleen Boyle Selevan, R.P.T.
• Laurel Selin, LVN
• Allan Shanberg, MD
• Janet Shannon, RD
• Shaudi Adel, a Licensed Clinical Social Worker, Inc.

• Internal Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.