Individual provider Active NPI

Henry Shiro Sebata, M.D.

  • Diagnostic Radiology Physician
  • Alhambra, CA
National Provider Identifier
1659578300
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A98886 Issued in CA
Practice address
100 S Raymond Ave
Alhambra, CA 91801-3166
Phone
(626) 458-4760
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A98886 CA Primary

Addresses

Primary practice location

100 S Raymond Ave
Alhambra, CA 91801-3166

Mailing address

11053 Barman Ave
Culver City, CA 90230-4206

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000821 CA Practitioner - Diagnostic Radiology 1254598600 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (877) 406-2916

1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone (877) 406-2916

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (877) 406-2916

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (877) 406-2916

16237 Ventura Blvd
Encino, CA 91436-2201
Phone (877) 406-2916

18321 Clark St
Tarzana, CA 91356-3501
Phone (877) 406-2916

2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (877) 406-2916

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (877) 406-2916

250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

4929 Van Nuys Blvd
Van Nuys, CA 91403-1702
Phone (877) 406-2916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98886CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Dec 25, 2011 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 1, 2023 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 19, 2020 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

110 W Las Tunas Dr
Ste A
San Gabriel, CA 91776
Phone (626) 593-9393

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1659578300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11053 BARMAN AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013166",
            "telephone_number": "626-458-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBATA",
        "first_name": "HENRY",
        "middle_name": "SHIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A98886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.