Individual provider Active NPI

Sean Gao

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1063944270
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A19358 Issued in CA
Practice address
4445 Eastgate Mall Ste 105
San Diego, CA 92121-1979
Phone
(858) 412-6080
NPI assigned
Mar 28, 2017
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A19358 CA Primary

Addresses

Primary practice location

4445 Eastgate Mall Ste 105
San Diego, CA 92121-1979

Mailing address

8817 Arborway CT
Apt 121
Indianapolis, IN 46268-4908
Phone (443) 422-8489

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614002348 CA Practitioner - Orthopedic Surgery 7618254764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Marian University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

5345 Irwindale Ave
Irwindale, CA 91706-2025
Phone (626) 960-5361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A19358CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Synergy Orthopedic Specialists, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Jan 25, 2024 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Jan 25, 2024 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Jan 25, 2024 Accepting new patients
Shahin S. Rad, M.D. PC Orthopaedic Surgery CurrentSince Jul 20, 2023 Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Ada del Rivero-Yamuy Medical Corp PastSince Nov 15, 2004 Accepting new patients

Locations

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400

3831 Hughes Ave
Ste 101
Culver City, CA 90232
Phone (310) 204-0104

3831 Hughes Ave
Ste 105
Culver City, CA 90232
Phone (310) 815-5035

16311 Ventura Blvd
Ste 1150
Encino, CA 91436
Phone (818) 477-0787

7052 Orangewood Ave
Ste 6
Garden Grove, CA 92841
Phone (714) 903-1000

5345 Irwindale Ave
Irwindale, CA 91706
Phone (626) 960-5361

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

1300 N Vermont Ave
Ste 100
Los Angeles, CA 90027
Phone (323) 913-4300

754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155

2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4910 Directors Pl
Ste 350
San Diego, CA 92121
Phone (858) 346-7171

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1063944270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 ARBORWAY CT",
            "address_2": "APT 121",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684908",
            "telephone_number": "443-422-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-412-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A19358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.