Active NPI
Michael a Sequeira MD Inc
- Addiction Medicine (Internal Medicine) Physician
- Claremont, CA
National Provider Identifier
1861015257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Anthony Sequeira, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C93745 | Medicaid | CA |
Other names 2
- Michael A Sequeira MD Inc
- none
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Emergency Medicine Physician
- Claremont, CA
- NPI 1578512844
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
- Melissa Khurasany a Professional Corp
- Miles Meredith, DPT
- James Merrigan
- Judith Elyse Meyers-Abell, PH.D.
- MH Claremont Operating, LLC (Claremont Place Senior Living)
- Jeanette Marie Michel
- Carol Rose Michelson, PH.D.
- Stephanie Minami, RDN
- Lourdes Minaya, MD
- Mindwell, a Licensed Marriage and Family Therapy Corporation
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.