Active NPI
Candace Selden, LVN
- Licensed Vocational Nurse
- San Francisco, CA
National Provider Identifier
1972077584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 289117
- Practice address
- 52 Dore St
San Francisco, CA 94103-3828 - Phone
- (415) 553-3100
- NPI assigned
- Jan 16, 2019
- Last updated
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 289117 | CA | Primary |
Addresses
Primary practice location
52 Dore St
San Francisco, CA 94103-3828
Mailing address
982 Mission St
San Francisco, CA 94103-2911
Phone (415) 597-8000
Other practice location 1
982 Mission St
San Francisco, CA 94103-2911
Phone (415) 597-8000
Other names 1
- Mrs. Candace Alsalloom
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289117 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1972077584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032911",
"telephone_number": "415-597-8000",
"fax_number": "415-597-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 DORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941033828",
"telephone_number": "415-553-3100"
}
],
"practiceLocations": [
{
"address_1": "982 Mission St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941032911",
"country_code": "US",
"telephone_number": "415-597-8000",
"fax_number": "415-597-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELDEN",
"first_name": "CANDACE",
"name_prefix": "Mrs.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "289117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "ALSALLOOM",
"prefix": "MRS.",
"credential": "LVN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Francisco, CA
- Rishi R Sekar, MD
- Tinotenda Sekeramayi, MD
- Amardeep Sekhon
- Lucia Carmichael Sekoff
- Van Nye Selby, M.D.
- Mark Fields Selden
- Andrea C Seldomridge, PSYD
- Select Cal Physical Therapy PC (Select Physical Therapy)
- Select Cal Physical Therapy PC (Select Physical Therapy)
- Select Cal Physical Therapy PC (Select Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.