Individual provider Active NPI

Jonathan Jeah Seun, DPM

  • Podiatrist
  • Palo Alto, CA
National Provider Identifier
1043072358
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E6004 Issued in CA
Practice address
3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone
(650) 493-5000
NPI assigned
Jan 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E6004 CA Primary

Addresses

Primary practice location

3801 Miranda Ave
Palo Alto, CA 94304-1207

Mailing address

2865 Homestead Rd Apt 22
Santa Clara, CA 95051-5288

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906001109 CA Practitioner - Podiatry 0446790372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

1 Shrader St
Suite 580
San Francisco, CA 94117-1016
Phone (415) 759-2014

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions13
Removal of nail tissue371
Removal or shaving of skin growth82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6004CAMDPodiatrist
6004CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care Inc Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
Bay Area Foot Care, Inc Podiatrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

10353 Torre Ave
Cupertino, CA 95014

10353 Torre Ave
Ste C
Cupertino, CA 95014
Phone (408) 358-6234

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

400 Carlton Ave
Ste 200
Los Gatos, CA 95032
Phone (408) 358-6234

400 Carlton Ave
Los Gatos, CA 95032
Phone (408) 358-6234

2500 Hospital Dr
Bldg 1
Mountain View, CA 94040
Phone (650) 938-9838

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jonathan.seun.1@20181.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1043072358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 HOMESTEAD RD APT 22",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUN",
        "first_name": "JONATHAN",
        "middle_name": "JEAH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.