Individual provider Active NPI

Sabri Sen, M.D.

  • Urology Physician
  • Antioch, CA
National Provider Identifier
1720043862
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C52938 Issued in CA
Practice address
4053 Lone Tree Way Ste 200
Antioch, CA 94531-6210
Phone
(925) 776-7725
Fax
(925) 754-1869
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C52938 CA Primary

Addresses

Primary practice location

4053 Lone Tree Way Ste 200
Antioch, CA 94531-6210

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (925) 776-7725

Other practice location 1

350 John Muir Pkwy Ste 140
Brentwood, CA 94513-5190
Phone (925) 513-2483

Other practice location 2

350 John Muir Pkwy Ste 175
Brentwood, CA 94513-5185
Phone (925) 413-2483

Other identifiers 2

IdentifierTypeStateIssuer
C52938OtherCASTATE MEDICAL LICENSE
93969OtherCAUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52938CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sabri Sen Inc Urology PastSince Jan 1, 1990 Accepting new patients
Sabri E. Sen MD Inc PastSince Jan 1, 1990 Accepting new patients
Sabri E. Sen, M.D., Inc. Urology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1720043862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "925-776-7725",
            "fax_number": "925-754-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 LONE TREE WAY STE 200",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316210",
            "telephone_number": "925-776-7725",
            "fax_number": "925-754-1869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 John Muir Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945135190",
            "country_code": "US",
            "telephone_number": "925-513-2483",
            "fax_number": "925-813-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 John Muir Pkwy Ste 175",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945135185",
            "country_code": "US",
            "telephone_number": "925-413-2483",
            "fax_number": "925-513-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEN",
        "first_name": "SABRI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C52938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C52938",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "93969",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.