Sean Andrews
Individual provider Active NPI Emergency Medicine Physician · San Luis Obispo, CA
NPI 1154736734 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1154736734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 20A14461 (CA)
- Practice address
- 1010 Murray Ave
San Luis Obispo, CA 93405-1806 - Phone
- (805) 546-7600
- NPI assigned
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Santa Ynez River Physicians PC
Grand Avenue Emergency Physicians Medical Group Inc
Practice addresses (Care Compare)
1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3300
2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5000
Hospital & facility affiliations
- Mercy Hospital
- Lompoc Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.65
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170706002438 | CA | Practitioner - Emergency Medicine | 6800165879 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14461 | CA | MD | Emergency Medicine Physician |
| OP60812121 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Emergency Physicians | Single Specialty | Current |
Accepting new patients |
| Grand Avenue Emergency Physicians Medical Group Inc | Single Specialty | Current |
Accepting new patients |
| Santa Ynez River Physicians, PC | Single Specialty | Current |
Accepting new patients |
Locations
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OP60812121 | WA | |
| Emergency Medicine Physician |
207P00000X | 20A14461 | CA | Yes |
Addresses
Primary practice location
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Mailing address
P.O. Box 87
Templeton, CA 93465
Phone (805) 434-1869
Other practice location 1
939 Caroline St
Port Angeles, WA 98362-3997
Phone (360) 417-7000
Other providers in San Luis Obispo, CA
- Ginamarie Andreoli
- Brittany Andrews
- Genevieve E Andrews
- Katrina N Andrews
- Margaret Andrews
- Serena Jade Andrews
- Kimberli Andridge
- Andrea Angelucci
- Patricia Angulo
- Anne Tse Acupuncture Professional Corporation
All providers in San Luis Obispo, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.