MR. BRENT MICHAEL SELDERS PA-C
NPI 1417254558
Physician Assistant in San Diego, CA

Q: What is Brent Selders's NPI number?

The NPI number for Brent Selders is 1417254558. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Q: What is Brent Selders's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Selders was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 25, 2011

6195 LUSK BLVD STE 250, SAN DIEGO, CA 92121(858) 859-1188 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2022, May 7, 2019, Jan 24, 2019 (3 updates tracked since 2019).

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About Mr. Brent Michael Selders Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRENT MICHAEL SELDERS PA-C (NPI 1417254558) is an individual physician assistant in San Diego, California, licensed in California (56311) and active in the NPI registry since February 2011. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1417254558

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. BRENT MICHAEL SELDERSCredential: PA-C

Location Address6195 LUSK BLVD STE 250San Diego, CA 92121-3715

Mailing Address6195 Lusk Blvd Ste 250San Diego, CA 92121-3715 · (858) 859-1188

Phone(858) 859-1188

Sole ProprietorNo

Enumeration DateFebruary 25, 2011

Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration

NPPES CertifiedDecember 5, 2022

✔ NPI 1417254558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CA · 56311✔ Licensed in FL · PA9105832

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6195 LUSK BLVD STE 250, San Diego, CA 92121

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Secondary Practice Location 1

Location 1575 6th Ave Unit 404San Diego, CA 92101-8622 · Phone (206) 618-9574

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEX BOLTON APRN

Nurse Practitioner (Family)