Active NPI
Sean Patrick Dugan
- General Practice Physician
- Redding, CA
National Provider Identifier
1871721100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A121229
- Practice address
- 1035 Placer St
Redding, CA 96001-4545 - Phone
- (530) 248-5702
- Fax
- (530) 245-9830
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A121229 | CA | Primary |
Addresses
Primary practice location
1035 Placer St
Redding, CA 96001-4545
Mailing address
PO Box 992790
Redding, CA 96001-4245
Phone (530) 246-5702
Other names 1
- Dr. Sean Patrick Dugan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121229 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Community Health Center | Current | Accepting new patients | |
| Shasta Community Health Center | Current | Accepting new patients | |
| Shasta Community Health Center | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
1035 Placer St
Redding, CA 96001
Interoperability endpoints
- sdugan3182758@ak.providencedirect.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1114533171
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1467547265
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1356815542
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1952328403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1871721100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 992790",
"city": "REDDING",
"state": "CA",
"postal_code": "960014245",
"telephone_number": "530-246-5702",
"fax_number": "530-245-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960014545",
"telephone_number": "530-248-5702",
"fax_number": "530-245-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "SEAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A121229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEAN",
"last_name": "DUGAN",
"middle_name": "PATRICK",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.