Individual provider Active NPI

Lawson Victor Sealey, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1093950024
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31008 Issued in CA
Practice address
20151 SW Birch St Ste 200
Newport Beach, CA 92660-0776
Phone
(949) 929-2657
Fax
(949) 851-5901
NPI assigned
Dec 4, 2008
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31008 CA Primary

Addresses

Primary practice location

20151 SW Birch St Ste 200
Newport Beach, CA 92660-0776

Mailing address

3010 Park Newport Apt 202
Newport Beach, CA 92660-5835
Phone (949) 929-2657

Other names 1

  • Dr. Lawson Sealey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723008543 CA Practitioner - Chiropractic 6204149941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Dove St
Suite 480
Newport Beach, CA 92660-2812
Phone (949) 929-2657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31008CAMDClinical Child & Adolescent Psychologist

Organizations & group practices 1

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1093950024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 PARK NEWPORT APT 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605835",
            "telephone_number": "949-929-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20151 SW BIRCH ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600776",
            "telephone_number": "949-929-2657",
            "fax_number": "949-851-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALEY",
        "first_name": "LAWSON",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWSON",
            "last_name": "SEALEY",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.