Individual provider Active NPI

Peter Sean, CPO

  • Prosthetist
  • Los Angeles, CA
National Provider Identifier
1326698937
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734
Phone
(213) 383-9212
NPI assigned
Sep 16, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X NU
Prosthetist 224P00000X NU Primary
Mastectomy Fitter 224900000X NU
Pedorthist 224L00000X NU

Addresses

Primary practice location

1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734

Mailing address

1830 W Olympic Blvd Ste 123
Los Angeles, CA 90006-3734
Phone (213) 383-9212

Other practice location 1

1001 W Carson St Ste L
Torrance, CA 90502-2051
Phone (310) 781-1780

Other practice location 2

11550 Indian Hills Rd Ste 211
Mission Hills, CA 91345-1202
Phone (818) 898-0234

Other practice location 3

16077 Kamana Rd Ste 100
Apple Valley, CA 92307-1331
Phone (760) 242-6444

Other identifiers 1

IdentifierTypeStateIssuer
GXC000070MedicaidCA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamics Walkagain Rehab Inc. Current Accepting new patients
Dynamics Orthotics & Prosthetics, Inc. Past Accepting new patients
Dynamics Orthotics & Prosthetics, Inc. Orthotist Past Accepting new patients

Locations

1830 W Olympic Blvd
Ste 123
Los Angeles, CA 90006
Phone (213) 383-9212

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1326698937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD STE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W OLYMPIC BLVD STE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063734",
            "telephone_number": "213-383-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Carson St Ste L",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022051",
            "country_code": "US",
            "telephone_number": "310-781-1780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11550 Indian Hills Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451202",
            "country_code": "US",
            "telephone_number": "818-898-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16077 Kamana Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071331",
            "country_code": "US",
            "telephone_number": "760-242-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAN",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.