Chad Selph, MD | |
2320 Bath St Ste 208, Santa Barbara, CA 93105-5322 | |
(805) 682-7984 | |
Not Available |
Full Name | Chad Selph |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2320 Bath St Ste 208, Santa Barbara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538692850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD612286691 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | A187050 (California) | Primary |
Entity Name | California Managed Imaging Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821271727 PECOS PAC ID: 9436229887 Enrollment ID: O20230620001140 |
Mailing Address | Practice Location Address |
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Chad Selph, MD 1640 Wild Indigo Ter, Oviedo, FL 32766-8116 Ph: (407) 620-2360 | Chad Selph, MD 2320 Bath St Ste 208, Santa Barbara, CA 93105-5322 Ph: (805) 682-7984 |
Dr. Donna E. Winingham, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath Street,, Suite 113, Santa Barbara, CA 93105 Phone: 805-682-7744 Fax: 805-682-3321 | |
Sean Henry Novak, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St # 113, Santa Barbara, CA 93105 Phone: 805-682-7744 | |
Wonsuk Warren Suh, M.D., M.P.H. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-682-7300 | |
Dr. Christopher Douglas Kuzminski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-682-7111 Fax: 805-682-0793 | |
Richard E Fulton, MD Radiology Medicare: Medicare Enrolled Practice Location: 2320 Bath St, Suite 208, Santa Barbara, CA 93105 Phone: 805-682-7984 Fax: 805-569-2964 | |
Dr. Jacob Lawrence Harter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St # 113, Santa Barbara, CA 93105 Phone: 805-682-7744 | |
Daniel T Fox, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St, Suite 208, Santa Barbara, CA 93105 Phone: 805-682-7984 Fax: 805-569-2964 |