Active NPI
Redentor Patrocinio Sese
- Administrator Registered Nurse
- San Diego, CA
National Provider Identifier
1508372095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 633846
- Practice address
- 6915 Glenflora Ave
San Diego, CA 92119-2945 - Phone
- (619) 463-5757
- Fax
- (619) 463-5757
- NPI assigned
- Dec 19, 2017
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 633846 | CA | Primary |
Addresses
Primary practice location
6915 Glenflora Ave
San Diego, CA 92119-2945
Mailing address
633 Port Trinity
Chula Vista, CA 91913-1227
Phone (619) 254-5951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 633846 | CA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1508372095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 PORT TRINITY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131227",
"telephone_number": "619-254-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 GLENFLORA AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192945",
"telephone_number": "619-463-5757",
"fax_number": "619-463-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESE",
"first_name": "REDENTOR",
"middle_name": "PATROCINIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "633846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.