Sean Monaco, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14957 Issued in CA

Practice address

5417 Pacific Blvd
Huntington Park, CA 90255-2532

Phone

(323) 923-4160

Fax

(323) 923-4169

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

89.41 of 100Reported as group

Quality

86.32

Promoting interoperability

95

Improvement activities

40

Cost

66.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Family and Wound Care Solutions

  • Family Nurse Practitioner
  • Tarzana, CA
  • NPI 1689482416
  Medicare reassignment NPD
• Willits Hospital Inc.

  dba Adventist Health Howard Memorial

  • Critical Access Hospital
  • Willits, CA
  • NPI 1356339543
  Medicare reassignment NPD
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350
  Medicare reassignment
• Ukiah Adventist Hospital

  dba Adventist Health Howard Pharmacy

  • Community/Retail Pharmacy
  • Willits, CA
  • NPI 1629432968
  NPD
• Advance Urgent Medical Group Inc

  • Health Maintenance Organization
  • Santa Ana, CA
  • NPI 1881847424
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1659383099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552532",
            "telephone_number": "323-923-4160",
            "fax_number": "323-923-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552532",
            "telephone_number": "323-923-4160",
            "fax_number": "323-923-4169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W 1st St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927033757",
            "country_code": "US",
            "telephone_number": "714-542-9700",
            "fax_number": "714-542-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONACO",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA14957",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MJ Roh DDS Dental Corporation (Pacific Choice Dental)
• Payam Mojab, D.D.S.
• Carlos Pedro Mojica
• Mary Melissa Mojica
• Lizbeth Patricia Mollinedo
• Elizabeth Monico, COUNSELOR
• Quincy Justin Monroe
• Francisco Monroy Flores
• Diana Monterroso
• Vincent G. Montes

• Physician Assistant in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.