Active NPI
Sean Lee Underhill, COMMUNICATION BS
- Peer Specialist
- San Jose, CA
National Provider Identifier
1619772944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 298B Bernal Rd
San Jose, CA 95119 - Phone
- (408) 638-4744
- NPI assigned
- Feb 19, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
298B Bernal Rd
San Jose, CA 95119
Mailing address
3 Huckleberry Is
Brookdale, CA 95007
Phone (831) 252-4298
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1619772944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HUCKLEBERRY IS",
"city": "BROOKDALE",
"state": "CA",
"postal_code": "95007",
"telephone_number": "831-252-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298B BERNAL RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "408-638-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERHILL",
"first_name": "SEAN",
"middle_name": "LEE",
"credential": "COMMUNICATION BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.