Active NPI
Sean Hardcaslte, DVM
- Specialist
- Petaluma, CA
National Provider Identifier
1285096008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20501
- Practice address
- 1120 Industrial Ave
Suite 13 & 14
Petaluma, CA 94952-6503 - Phone
- (707) 763-1222
- Fax
- (707) 736-2199
- NPI assigned
- Mar 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20501 | CA | Primary |
Addresses
Primary practice location
1120 Industrial Ave
Suite 13 & 14
Petaluma, CA 94952-6503
Mailing address
1120 Industrial Ave
Suite 13 & 14
Petaluma, CA 94952-6503
Phone (707) 763-1222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20501 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1285096008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 INDUSTRIAL AVE",
"address_2": "SUITE 13 & 14",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949526503",
"telephone_number": "707-763-1222",
"fax_number": "707-736-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 INDUSTRIAL AVE",
"address_2": "SUITE 13 & 14",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949526503",
"telephone_number": "707-763-1222",
"fax_number": "707-736-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDCASLTE",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "20501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.