Active NPI
Jonathan Jeah Seun, DPM
- Podiatrist
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E6004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1 Shrader St
Suite 580
San Francisco, CA 94117-1016
Phone (415) 759-2014
Hospital & facility affiliations
- Good Samaritan Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 77 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 371 |
| Removal or shaving of skin growth | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6004 | CA | MD | Podiatrist |
| 6004 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care Inc | Podiatrist | Current | Accepting new patients |
| Bay Area Foot Care, Inc | Podiatrist | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
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
- Jennifer Andrene Sequoia, MD
- Michaela Gabrielle Serafica, NP
- Serenity Acupuncture Treatment Professional Corporation
- Robyn Jillian Service, NP
- Shaun Prasanth Setty, M.D.
- Christopher John Severyn, M.D., PH.D.
- Pamela Sevilla, MD
- Rachel Lea Sewell, MD
- Daniel Peter Sexton, MD
- Rachel Nichole Sexton, CPNP-AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.