Organization Active NPI

Sebastian Conti

  • Vascular Surgery Physician
  • Carmichael, CA
National Provider Identifier
1679773964
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G34056 Issued in CA
Legal business name
SEBASTIAN CONTI
Practice address
6450 Coyle Ave
Suite 1
Carmichael, CA 95608-0305
Phone
(916) 965-5050
Fax
(916) 965-4040
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Dr. Sebastian Conti, M.D.
Title
Owner
Phone
(916) 965-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X G34056 CA Primary

Addresses

Primary practice location

6450 Coyle Ave
Suite 1
Carmichael, CA 95608-0305

Mailing address

6450 Coyle Ave
Suite 1
Carmichael, CA 95608-0305
Phone (916) 965-5050

Other identifiers 1

IdentifierTypeStateIssuer
00G340560MedicaidCA

National Provider Directory

National Provider Directory

Locations

6450 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (916) 680-9510

6608 Mercy Ct
Ste C
Fair Oaks, CA 95628
Phone (916) 965-5050

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1679773964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 COYLE AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080305",
            "telephone_number": "916-965-5050",
            "fax_number": "916-965-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 COYLE AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080305",
            "telephone_number": "916-965-5050",
            "fax_number": "916-965-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN CONTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-965-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G34056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G340560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.