OrganizationActiveAccepts Medicare
Selena Anne Lantry, M.D., Inc
NPI 1053614404 · Specialist · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1053614404
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Selena Lantry, President(818) 247-2164
- License
- G55968 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1505 Wilson Ter Ste 130
Glendale, CA 91206-4074
Phone: (818) 247-2164
Street-level locationGet directions
Mailing address
1505 Wilson Ter Ste 130
Glendale, CA 91206-4074
Registry dates
- Enumerated
- 2010-12-07
- Last updated
- 2010-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.