Individual provider Active NPI

Michael Sepulveda, MD

  • Internal Medicine Physician
  • San Juan Bautista, CA
National Provider Identifier
1164425757
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64123 Issued in CA
Practice address
342 Via Vaquero Sur
San Juan Bautista, CA 95045-9307
Phone
(831) 325-6459
NPI assigned
May 27, 2005
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A64123 CA
Internal Medicine Physician 207R00000X A64123 CA Primary

Addresses

Primary practice location

342 Via Vaquero Sur
San Juan Bautista, CA 95045-9307

Mailing address

342 Via Vaquero Sur
San Juan Bautista, CA 95045-9307
Phone (831) 325-6459

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
I20040417000231 CA Practitioner - Internal Medicine 0648265876 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians
Hazel Hawkins Memorial HospitalGroup PAC ID 9133038326, 52 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

911 Sunset Dr
Hollister, CA 95023-5606
Phone 83163726262601

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Sep 23, 2023 Accepting new patients
County of Monterey Behavioral Health CurrentSince May 15, 2008 Accepting new patients
Svmhs Clinics CurrentSince Sep 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Oct 7, 2018 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2012 Accepting new patients
County of Monterey CurrentSince May 15, 2008 Accepting new patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Jul 11, 2016 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Sep 23, 2023 Accepting new patients
Svmhs Clinics CurrentSince Sep 1, 2014 Accepting new patients
County of San Mateo CurrentSince Jan 20, 2015 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Pinehurst Hospitalist Medical Group, Inc. CurrentSince Apr 15, 2020 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
County of San Mateo CurrentSince Jan 20, 2015 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Specialist Past Accepting new patients
Salinas Valley Hospitalist Medical Group, Inc Internal Medicine Past Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Santa Lucia Medical Group, Inc. Past Accepting new patients
John Muir Physician Network Past Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Interoperability endpoints

  • Direct secure messaging: msepul05@yourcarecommunity.org
  • Direct secure messaging: msepulveda15413@direct.svmh.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1164425757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 VIA VAQUERO SUR",
            "city": "SAN JUAN BAUTISTA",
            "state": "CA",
            "postal_code": "950459307",
            "telephone_number": "831-325-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 VIA VAQUERO SUR",
            "city": "SAN JUAN BAUTISTA",
            "state": "CA",
            "postal_code": "950459307",
            "telephone_number": "831-325-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A64123",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Bautista, CA

Sources for this page

Verify at the official NPI Registry.