Jeffrey L. Sebastian, M D, Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A060390 Issued in CA

Legal business name

JEFFREY L. SEBASTIAN, M D, INC

Practice address

1260 15TH St Ste 709
Santa Monica, CA 90404-1142

Phone

(310) 917-4433

Fax

(310) 917-4432

NPI assigned

Oct 25, 2007

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L Sebastian, M.D.NPI 1992891881

Title

President

Phone

(310) 917-4433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey L Sebastian, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Santa Monica, CA
  • NPI 1992891881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1093994212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE 709",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041142",
            "telephone_number": "310-917-4433",
            "fax_number": "310-917-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST STE 709",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041142",
            "telephone_number": "310-917-4433",
            "fax_number": "310-917-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. SEBASTIAN, M D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-917-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A060390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W18298A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monica Jedlinski, NP
• Paul Leon Jefferson
• Charles C Jeng, DDS
• Johanna Jenkins, L.C.S.W.
• Sanford D Jenkins
• Jennifer a Ellice MD PC
• Jennifer K. Akagi, DDS, Inc.

• Plastic and Reconstructive Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.