Sue Sean, CP CFM

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CP003476 Issued in CA

Practice address

1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734

Phone

(213) 383-9212

Fax

(213) 383-6421

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dynamics Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • San Bernardino, CA
  • NPI 1639789779

  Mastectomy Fitter

  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1033736848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD STE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-9212",
            "fax_number": "213-383-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD STE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-9212",
            "fax_number": "213-383-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAN",
        "first_name": "SUE",
        "credential": "CP CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": "CFM02641",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CP003476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCOP,",
            "identifier": "CP003476",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sues@walkagain.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1830 W Olympic Blvd Ste 123",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900063734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean Satey MD PC
• Sean Thompson Chiropractic Corp
• Sean Xie, M.D. a Medical Corporation
• June Sean
• Peter Sean, CPO
• Search to Involve Pilipino Americans
• Charlotte Searcy, MSW
• Harley Anthony Searcy Jr., PA-C
• Angela May Seard, MD
• Brian Victor Searles II

• Prosthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.