Sean Thomas Egan, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15867 Issued in CA

Practice address

3800 Janes Rd
Arcata, CA 95521-4742

Phone

(707) 826-8264

Fax

(707) 826-8292

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Los Alamitos, CA
  • NPI 1477502615
  NPD (past)
• Six Rivers Emergency Physicians

  • Emergency Medicine Physician
  • Arcata, CA
  • NPI 1396786026
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1427092816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 ZEHNDNER AVE",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215466",
            "telephone_number": "707-954-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214742",
            "telephone_number": "707-826-8264",
            "fax_number": "707-826-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA15867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral Duval
• Jessica Dyer, ASW
• Tressa Raye Edelman, FNP
• Thomas Kent Edrington
• Sophia Marie Effa, M.A., AMFT
• Cassandra Michele Eggert
• Caitlin Ehnow, AMFT
• Grace Eidman
• Michelle Rose Elaine
• Carolyn Jean Eldridge, L.M.

• Physician Assistant in Arcata, CA
• Providers in Arcata, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.