NPIMap

Individual provider Active NPI

Sean Xie, M.D.

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1447292966
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A85370 Issued in CA
Practice address
1414 S Grand Ave
Suite 100
Los Angeles, CA 90015-3067
Phone
(213) 977-1102
Fax
(213) 977-0656
NPI assigned
Jun 11, 2006
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A85370 CA Primary

Addresses

Primary practice location

1414 S Grand Ave
Suite 100
Los Angeles, CA 90015-3067

Mailing address

PO Box 2077
Santa Monica, CA 90406-2077
Phone (213) 977-1102

Other identifiers 2

IdentifierTypeStateIssuer
00A853700MedicaidCA
201039443OtherCAFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000511 CA Practitioner - Neurosurgery 7012983935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wake Forest University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1414 S Grand Ave
Suite 100
Los Angeles, CA 90015-3071
Phone (213) 977-1102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A85370CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Neurological Surgery CurrentSince Oct 17, 2024 Accepting new patients
Pih Health Physicians CurrentSince Oct 17, 2024 Accepting new patients
Sean Xie, M.D. a Medical Corporation Neurological Surgery CurrentSince Jun 30, 2004 Accepting new patients
Pih Health Physicians Current Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Los Angeles Lung Center a Professional Medical Corp Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Ste 305
Los Angeles, CA 90017
Phone (213) 481-2211

1414 S Grand Ave
Ste 100
Los Angeles, CA 90015
Phone (213) 481-2200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1447292966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904062077",
            "telephone_number": "213-977-1102",
            "fax_number": "213-977-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-977-1102",
            "fax_number": "213-977-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A85370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A853700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "201039443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.