Active NPI
Sabri Sen, M.D.
- Urology Physician
- Antioch, CA
National Provider Identifier
1720043862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C52938
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C52938 | Other | CA | STATE MEDICAL LICENSE |
| 93969 | Other | CA | UPIN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C52938 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabri Sen Inc | Urology | Past | Accepting new patients |
| Sabri E. Sen MD Inc | Past | Accepting new patients | |
| Sabri E. Sen, M.D., Inc. | Urology | Past | 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.
-
- Clinic/Center
- Antioch, CA
- NPI 1992998314
-
- Urology Physician
- Antioch, CA
- NPI 1588857536
-
- Urology Physician
- Antioch, CA
- NPI 1538302278
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.