Active NPI
Sebastian Orion Groot, D.O.
- Family Medicine Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A16750
- Practice address
- 3100 San Pablo Ave # 310
Berkeley, CA 94702-2498 - Phone
- (510) 985-5020
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 20A16750 | CA | Primary |
Addresses
Primary practice location
3100 San Pablo Ave # 310
Berkeley, CA 94702-2498
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 1
1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other practice location 2
1450 Treat Blvd Ste 320
Walnut Creek, CA 94597-2168
Phone (925) 296-9880
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1450 Treat Blvd
Suite 160
Walnut Creek, CA 94597-2168
Phone (925) 296-9000
Hospital & facility affiliations
- Mission Home Health of Contra Costa
- Prohealth Home Care, Inc
- Health Link Home Health Agency
- Asian Network Pacific Home Care, Inc
- Alta Bates Summit Medical Center - Alta Bates Camp
- John Muir Medical Center - Walnut Creek Campus
- UCSF Medical Center
- Alta Bates Summit Medical Center
- John Muir Medical Center - Concord Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16750 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients |
Locations
3100 San Pablo Ave
Ste 310
Berkeley, CA 94702
Phone (510) 985-5020
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
#320
Walnut Creek, CA 94597
Phone (925) 296-9880
1450 Treat Blvd
Ste 320
Walnut Creek, CA 94597
Phone (925) 296-9827
1450 Treat Blvd
#160
Walnut Creek, CA 94597
Phone (925) 296-9000
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
1450 Treat Blvd
Ste 160
Walnut Creek, CA 94597
Phone (925) 296-9000
Interoperability endpoints
- sgroot79264@ehr.johnmuirhealth.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oakland, CA
- NPI 1932285335
-
- Home Health Agency
- San Francisco, CA
- NPI 1215122346
-
- Home Health Agency
- Concord, CA
- NPI 1538411632
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- Home Health Agency
- San Jose, CA
- NPI 1255531570
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1194251249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828",
"fax_number": "925-952-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SAN PABLO AVE # 310",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947022498",
"telephone_number": "510-985-5020"
}
],
"practiceLocations": [
{
"address_1": "1450 Treat Blvd # 160",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945972168",
"country_code": "US",
"telephone_number": "925-952-2828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1450 Treat Blvd Ste 320",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945972168",
"country_code": "US",
"telephone_number": "925-296-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROOT",
"first_name": "SEBASTIAN",
"middle_name": "ORION",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A16750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.