Organization Active NPI

Michael a Sequeira MD Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Claremont, CA
National Provider Identifier
1861015257
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
MICHAEL A SEQUEIRA MD INC
Practice address
458 Potomac Way
Claremont, CA 91711-2762
Phone
(909) 477-0316
NPI assigned
May 20, 2020
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Michael Anthony Sequeira, MDNPI 1578512844
Title
Ceo
Phone
(951) 255-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X Primary

Addresses

Primary practice location

458 Potomac Way
Claremont, CA 91711-2762

Mailing address

458 Potomac Way
Claremont, CA 91711-2762
Phone (909) 477-0316

Other identifiers 1

IdentifierTypeStateIssuer
C93745MedicaidCA

Other names 2

  • Michael A Sequeira MD Inc Former legal business name
  • none Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1861015257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 POTOMAC WAY",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112762",
            "telephone_number": "909-477-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 POTOMAC WAY",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112762",
            "telephone_number": "909-477-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A SEQUEIRA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-255-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C93745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A Sequeira MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.