Individual provider Active NPI

Sean Michael Pearson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oxnard, CA
National Provider Identifier
1710530860
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5839 Issued in CA
Practice address
451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729
Phone
(805) 485-6708
NPI assigned
Jul 18, 2019
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007026 PA
Foot & Ankle Surgery Podiatrist 213ES0103X E5839 CA Primary

Addresses

Primary practice location

451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729

Mailing address

451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729
Phone (805) 485-6708

Other practice location 1

3160 Telegraph Rd Ste 207
Ventura, CA 93003-3256
Phone (805) 485-6708

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615000865 CA Practitioner - Podiatry 0648508440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians
County of VenturaGroup PAC ID 7911810171, 340 clinicians
Ventura County Podiatric Medical Group IncGroup PAC ID 2769819242, 5 clinicians

Practice addresses (Care Compare)

120 N Ashwood Ave
Ventura, CA 93003-1810
Phone (805) 658-5800

300 Hillmont Ave
Ventura, CA 93003-1651

451 W Gonzales Rd
Suite 260
Oxnard, CA 93036-0729
Phone (805) 983-0222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions1-10
Removal of nail tissue118
Removal or shaving of skin growth104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5839CAMDFoot & Ankle Surgery Podiatrist
SC007026PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery CurrentSince Jun 3, 2022 Accepting new patients
Ventura County Podiatric Medical Group Inc Foot & Ankle Surgery CurrentSince Feb 1, 2023 Accepting new patients
Community Memorial Health System Current Accepting new patients
Home Foot Care, Inc. CurrentSince Jun 3, 2022 Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2022 Accepting new patients
County of Ventura CurrentSince Nov 1, 2022 Accepting new patients
County of Ventura Current Accepting new patients
Community Memorial Health System CurrentSince Dec 1, 2022 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

451 W Gonzales Rd
Ste 260
Oxnard, CA 93036
Phone (805) 485-3151

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

12520 Magnolia Blvd
Ste 304
Valley Vlg, CA 91607
Phone (818) 452-9902

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3160 Telegraph Rd
Ste 207
Ventura, CA 93003
Phone (805) 485-6708

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: seanpearson@cfh.allscriptsdirect.net
  • Direct secure messaging: spearson3514863@oc.providencedirect.org

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1710530860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-485-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-485-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Telegraph Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033256",
            "country_code": "US",
            "telephone_number": "805-485-6708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007026",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.