Individual provider Active NPI

Sean Bugayong

  • Home Health Registered Nurse
  • Vallejo, CA
National Provider Identifier
1437838919
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
583279 Issued in CA
Practice address
301 Georgia St Ste 108
Vallejo, CA 94590-5937
Phone
(707) 563-5085
NPI assigned
Jul 12, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 583279 CA Primary

Addresses

Primary practice location

301 Georgia St Ste 108
Vallejo, CA 94590-5937

Mailing address

301 Georgia St Ste 108
Vallejo, CA 94590-5937
Phone (707) 563-5085

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

LicenseStateTypeSpecialty
583279CAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Caring Home Health and Hospice LLC CurrentSince Jul 16, 2023 Accepting new patients

Locations

301 Georgia St
Ste 108
Vallejo, CA 94590
Phone (707) 563-5085

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, 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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1437838919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST STE 108",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905937",
            "telephone_number": "707-563-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST STE 108",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905937",
            "telephone_number": "707-563-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGAYONG",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "583279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.