Michael Fayez Sedrak, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A82582 Issued in CA

Practice address

1902 Fullerton Ave Ste 101
Corona, CA 92881-3112

Phone

(951) 479-8994

Fax

(619) 209-7888

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Alabama School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sands Medical Group LLCGroup PAC ID 8022542596, 3 clinicians

Michael F Sedrak MD a Medical CorporationGroup PAC ID 1658681994, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michael F Sedrak MD a Medical Corporation

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1053783258
  Medicare reassignment Care Compare group NPD Authorized official
• S&S Medical Group

  • Urgent Care Clinic/Center
  • Colton, CA
  • NPI 1811754690
  Medicare reassignment Care Compare group NPD Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Inland Empire Minimally Invasive Surgery Institute Inc

  • Special Hospital
  • Corona, CA
  • NPI 1083070494
  NPD (past) Authorized official
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Rosemead, CA
  • NPI 1942787114
  NPD
• Center for Advanced Laparoscopic Surgery Inc

  • Surgery Physician
  • Tustin, CA
  • NPI 1235323361
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1750464111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FULLERTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813112",
            "telephone_number": "951-479-8994",
            "fax_number": "619-209-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 FULLERTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813112",
            "telephone_number": "951-479-8994",
            "fax_number": "619-209-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDRAK",
        "first_name": "MICHAEL",
        "middle_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2024-05-07",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Lee Scott
• Dione Maria Seals
• Cornise Seawood
• Libby Sebastian
• Monica M Sedberry, LCSW
• Seeds of Hope Counseling
• Jennifer Seguancia, NP-C
• Brianna Segura, BCBA
• Fernanda Segura
• Marlen Segura

• Surgery Physician in Corona, CA
• Providers in Corona, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.