Individual provider Active NPI

Sean Tomiya Richland, PA-C

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1649655259
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA52532 Issued in CA
Practice address
11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone
(714) 241-7000
Fax
(714) 241-7003
NPI assigned
Jul 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52532 CA Primary

Addresses

Primary practice location

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045

Mailing address

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone (714) 241-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015556 CA Practitioner - Physician Assistant 7416261151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200

947 S Anaheim Blvd
Suite 125
Anaheim, CA 92805-5584
Phone (714) 241-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA52532CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest Physician Assistant CurrentSince Dec 1, 2020 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Orthowest Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

710 N Euclid St
Ste 201
Anaheim, CA 92801
Phone (714) 241-7000

11190 Warner Ave
Ste 300
Fountain Vly, CA 92708
Phone (714) 241-7000

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1649655259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 300",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084045",
            "telephone_number": "714-241-7000",
            "fax_number": "714-241-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 300",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084045",
            "telephone_number": "714-241-7000",
            "fax_number": "714-241-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHLAND",
        "first_name": "SEAN",
        "middle_name": "TOMIYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.