Individual provider Active NPI

John Camara Anane-Sefah, M.D.

  • Colon & Rectal Surgery Physician
  • Capitola, CA
National Provider Identifier
1639227143
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G23854 Issued in CA
Practice address
603 Capitola Ave
Capitola, CA 95010-2751
Phone
(831) 476-5403
Fax
(831) 476-4107
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G23854 CA
Colon & Rectal Surgery Physician 208C00000X G23854 CA Primary

Addresses

Primary practice location

603 Capitola Ave
Capitola, CA 95010-2751

Mailing address

603 Capitola Ave
Capitola, CA 95010-2751
Phone (831) 476-5403

Other identifiers 2

IdentifierTypeStateIssuer
GR0030290MedicaidCA
G23854OtherCAMD LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G23854CAMDSurgery Physician

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639227143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CAPITOLA AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102751",
            "telephone_number": "831-476-5403",
            "fax_number": "831-476-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CAPITOLA AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102751",
            "telephone_number": "831-476-5403",
            "fax_number": "831-476-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANE-SEFAH",
        "first_name": "JOHN",
        "middle_name": "CAMARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G23854",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G23854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0030290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "G23854",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.