Active NPI
Sean Avila Saiter, PHD
- Student in an Organized Health Care Education/Training Program
- Santa Rosa, CA
National Provider Identifier
1447748751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1260 N Dutton Ave
Santa Rosa, CA 95401-4659 - Phone
- (707) 526-5424
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1260 N Dutton Ave
Santa Rosa, CA 95401-4659
Mailing address
7420 Huntley St
Sebastopol, CA 95472-3658
Phone (510) 325-5205
Other practice location 1
7420 Huntley St
Sebastopol, CA 95472-3658
Phone (510) 325-5205
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1447748751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 HUNTLEY ST",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723658",
"telephone_number": "510-325-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014659",
"telephone_number": "707-526-5424"
}
],
"practiceLocations": [
{
"address_1": "7420 Huntley St",
"address_purpose": "LOCATION",
"city": "Sebastopol",
"state": "CA",
"postal_code": "954723658",
"country_code": "US",
"telephone_number": "510-325-5205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAITER",
"first_name": "SEAN",
"middle_name": "AVILA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.