Stephen R Selzer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G26314 Issued in CA

Practice address

200 West Arbor Drive
MC 8811
San Diego, CA 92103-8811

Phone

(619) 543-6283

Fax

(619) 471-9068

NPI assigned

Dec 27, 2006

Last updated

Jan 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1902961196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE",
            "address_2": "MC 8811",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038811",
            "telephone_number": "619-543-6283",
            "fax_number": "619-471-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE",
            "address_2": "MC 8811",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038811",
            "telephone_number": "619-543-6283",
            "fax_number": "619-471-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELZER",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G26314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G263140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Selmo, M.D.
• Rebecca Seltmann
• Stephani L. Seltser
• Justin Seltzer, MD
• Mar Y Selva Sanchez
• Naudia Sem
• Avena Semanisin
• Semca Pharmacy
• Charmaine I Semeniuk, M.D.
• Ivan George Semerdjiev, DC

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, 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 Jan 18, 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.