Sean Souza

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

304700389 Issued in CA

Practice address

7111 Garden Grove Blvd Ste 100
Garden Grove, CA 92841-4222

Phone

(562) 848-2273

NPI assigned

Aug 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Home Matters Caregiving Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1801627682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 GARDEN GROVE BLVD STE 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414222",
            "telephone_number": "562-848-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 GARDEN GROVE BLVD STE 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414222",
            "telephone_number": "562-848-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": "304700389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOME MATTERS",
            "last_name": "CAREGIVING",
            "credential": "DBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Attendant Care Provider in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.