Individual provider Active NPI

Sarabenet Sequeira, M.D.

  • Pediatrics Physician
  • Mill Valley, CA
National Provider Identifier
1841218591
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A78454 Issued in CA
Practice address
10 Thomas Dr
Mill Valley, CA 94941-1615
Phone
(415) 380-8448
Fax
(415) 380-8673
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A78454 CA Primary

Addresses

Primary practice location

10 Thomas Dr
Mill Valley, CA 94941-1615

Mailing address

10 Thomas Dr
Mill Valley, CA 94941-1615
Phone (415) 380-8448

Other identifiers 1

IdentifierTypeStateIssuer
00A784540MedicaidCA

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
A78454CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarabenet Sequeira, MD, PC Pediatrics Current Accepting new patients
Regents Univ of California UCSF Pediatrics CurrentSince Nov 1, 2018 Accepting new patients
Marin General Hospital Past Accepting new patients
John Muir Physician Network Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

141 Camino Alto
Ste 4
Mill Valley, CA 94941
Phone (415) 389-8520

750 Redwood Hwy Frontage Rd
Ste 1204
Mill Valley, CA 94941
Phone (415) 384-4778

10 Thomas Dr
Mill Valley, CA 94941
Phone (415) 380-8448

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2395 Lombard St
San Francisco, CA 94123
Phone (415) 640-5024

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

Interoperability endpoints

  • Direct secure messaging: sarabenet.sequeira@356907307040772.direct.elationemr.com

Organizations & group practices 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1841218591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 THOMAS DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411615",
            "telephone_number": "415-380-8448",
            "fax_number": "415-380-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 THOMAS DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411615",
            "telephone_number": "415-380-8448",
            "fax_number": "415-380-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "SARABENET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A78454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A784540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.