Individual provider Active NPI

James L Sepiol, M.D.

  • Adult Medicine Physician
  • Stockton, CA
National Provider Identifier
1780857474
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A330696 Issued in CA
Practice address
1429 W Fremont St
Stockton, CA 95203-2627
Phone
(209) 546-7767
Fax
(209) 546-7785
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A330696 CA Primary
Occupational Medicine Physician 2083X0100X A33069 CA

Addresses

Primary practice location

1429 W Fremont St
Stockton, CA 95203-2627

Mailing address

1429 W Fremont St
Stockton, CA 95203-2627
Phone (209) 546-7767

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
A330696CAMDAdult Medicine Physician

Interoperability endpoints

  • Direct secure messaging: james.sepiol.1@15974.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1780857474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 W FREMONT ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032627",
            "telephone_number": "209-546-7767",
            "fax_number": "209-546-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 W FREMONT ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032627",
            "telephone_number": "209-546-7767",
            "fax_number": "209-546-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPIOL",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A330696",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A33069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.