Individual provider Active NPI

Sebastian Conti, MD

  • Vascular Surgery Physician
  • Carmichael, CA
National Provider Identifier
1255405924
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G34056 Issued in CA
Practice address
6450 Coyle Ave
Suite 1
Carmichael, CA 95608-0305
Phone
(916) 965-5050
Fax
(916) 965-4040
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G34056 CA Primary

Addresses

Primary practice location

6450 Coyle Ave
Suite 1
Carmichael, CA 95608-0305

Mailing address

6450 Coyle Ave
Suite 1
Carmichael, CA 95608-0305
Phone (916) 965-5050

Other identifiers 1

IdentifierTypeStateIssuer
00G340560MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066357CAMDGeriatric Medicine (Internal Medicine) Physician
G34056CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstream Vascular Diagnostic Imaging Laboratories Vascular Surgery Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1255405924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 COYLE AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080305",
            "telephone_number": "916-965-5050",
            "fax_number": "916-965-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 COYLE AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080305",
            "telephone_number": "916-965-5050",
            "fax_number": "916-965-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G34056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G340560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.