Individual provider Active NPI

Arthur Selvan, M.D.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
National Provider Identifier
1972507697
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G36476 Issued in CA
Practice address
1200 N Tustin Ave
Ste 260
Santa Ana, CA 92705-3534
Phone
(714) 543-9855
Fax
(714) 543-8553
NPI assigned
Jun 9, 2005
Reactivated
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G36476 CA Primary

Addresses

Primary practice location

1200 N Tustin Ave
Ste 260
Santa Ana, CA 92705-3534

Mailing address

1200 N Tustin Ave Ste 260
Santa Ana, CA 92705-3534
Phone (714) 543-9855

Other identifiers 1

IdentifierTypeStateIssuer
00G364760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000135 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325188857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mokabberi MD IncGroup PAC ID 8820336365, 3 clinicians

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 400
Orange, CA 92868-4226
Phone (949) 774-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36476CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: arthur.selvan.1@20405.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1972507697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 260",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053534",
            "telephone_number": "714-543-9855",
            "fax_number": "714-543-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "STE 260",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053534",
            "telephone_number": "714-543-9855",
            "fax_number": "714-543-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAN",
        "first_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-09-11",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G36476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G364760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.