NPIMap

Individual provider Active NPI

Brian Martin Sebastian, MD

  • Internal Medicine Physician
  • Sonoma, CA
National Provider Identifier
1184624637
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A92199 Issued in CA
Practice address
651 1St St W
Suite H
Sonoma, CA 95476-7045
Phone
(707) 938-3870
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A92199 CA Primary

Addresses

Primary practice location

651 1St St W
Suite H
Sonoma, CA 95476-7045

Mailing address

651 1St St W
Suite H
Sonoma, CA 95476-7045
Phone (707) 938-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000435 CA Practitioner - Internal Medicine 5991602906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Duke University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92199CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Medical Foundation CurrentSince Oct 10, 2010 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Pendleton Community Care Inc Past Accepting new patients
Prima Medical Group, Inc. PastSince May 1, 2010 Accepting new patients

Locations

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

4000 Civic Center Dr
Ste 200B
San Rafael, CA 94903
Phone (415) 492-3333

181 Andrieux St
Ste 201
Sonoma, CA 95476
Phone (707) 938-3870

651 1st St W
Ste H
Sonoma, CA 95476
Phone (707) 938-3870

Organizations & group practices 4

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

Hospital & facility affiliations 10

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1184624637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 1ST ST W",
            "address_2": "SUITE H",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767045",
            "telephone_number": "707-938-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 1ST ST W",
            "address_2": "SUITE H",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767045",
            "telephone_number": "707-938-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "BRIAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.