Active NPI
Sean Thomas Lynch, PA-C
- Physician Assistant
- La Mesa, CA
National Provider Identifier
1366672040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20059
- Practice address
- 5525 Grossmont Center Dr
#200
La Mesa, CA 91942-3009 - Phone
- (619) 644-6500
- Fax
- (619) 644-6539
- NPI assigned
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20059 | CA | Primary |
Addresses
Primary practice location
5525 Grossmont Center Dr
#200
La Mesa, CA 91942-3009
Mailing address
10280 Holden Trails Rd
Lakeside, CA 92040-2243
Phone (619) 672-3217
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20059 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Interoperability endpoints
- slynch299871@scrippshlth.medalliesdirect.net
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 Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1366672040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10280 HOLDEN TRAILS RD",
"city": "LAKESIDE",
"state": "CA",
"postal_code": "920402243",
"telephone_number": "619-672-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 GROSSMONT CENTER DR",
"address_2": "#200",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423009",
"telephone_number": "619-644-6500",
"fax_number": "619-644-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "SEAN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.