Active NPI
Nicholas Jason Sasson, M.D.
- Family Medicine Physician
- Seaside, CA
National Provider Identifier
1679510697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A84535
- Practice address
- 3401 Engineer Lane
Seaside, CA 93955-7200 - Phone
- (831) 883-3800
- Fax
- (831) 883-3829
- NPI assigned
- May 31, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A84535 | CA | Primary |
Addresses
Primary practice location
3401 Engineer Lane
Seaside, CA 93955-7200
Mailing address
3401 Engineer Lane
Seaside, CA 93955-7200
Phone (831) 883-3800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160425001866 | CA | Order and Referring Only - Family Practice | 5991986580 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84535 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1679510697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 ENGINEER LANE",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939557200",
"telephone_number": "831-883-3800",
"fax_number": "831-883-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 ENGINEER LANE",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939557200",
"telephone_number": "831-883-3800",
"fax_number": "831-883-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSON",
"first_name": "NICHOLAS",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A84535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.