Active NPI
Mickey Avram Seffinger, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Pomona, CA
National Provider Identifier
1962521757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 20A5745
- Practice address
- 795 E. Second St.
Suite 5
Pomona, CA 91766-2007 - Phone
- (909) 865-2565
- Fax
- (909) 865-2955
- NPI assigned
- Mar 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20A5745 | CA | Primary |
| Family Medicine Physician | 207Q00000X | 20A5745 | CA |
Addresses
Primary practice location
795 E. Second St.
Suite 5
Pomona, CA 91766-2007
Mailing address
795 E Second Street
Suite 5
Pomona, CA 91766-2007
Phone (909) 865-2565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BZ219Z | Other | CA | MEDICARE PTAN SO CA |
| BZ219X | Other | CA | MEDICARE PTAN NO CA |
Other names 1
- Prof. Michael A. Seffinger
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5745 | CA | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1962521757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E SECOND STREET",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E. SECOND ST.",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEFFINGER",
"first_name": "MICKEY",
"middle_name": "AVRAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CA",
"license": "20A5745",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A5745",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN SO CA",
"identifier": "BZ219Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NO CA",
"identifier": "BZ219X",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "SEFFINGER",
"middle_name": "A.",
"prefix": "PROF.",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.