Individual provider Active NPI

Sean K Williams, OT

  • Occupational Therapist
  • West Hollywood, CA
National Provider Identifier
1891465829
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22482 Issued in CA
Practice address
925 N la Brea Ave FL 4
West Hollywood, CA 90038-3161
Phone
(725) 209-3053
Fax
(855) 927-7788
NPI assigned
Sep 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22482 CA Primary

Addresses

Primary practice location

925 N la Brea Ave FL 4
West Hollywood, CA 90038-3161

Mailing address

640 Richland View CT
San Marcos, CA 92069-9660
Phone (408) 620-4782

Other practice location 1

5809 W Modoc Ave
Visalia, CA 93291-8527
Phone (725) 209-3053

Other practice location 2

640 Richland View Ct
San Marcos, CA 92069-9660
Phone (408) 620-4782

Other practice location 3

5852 Corral Way
LA Jolla, CA 92037-7423
Phone (725) 209-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005002782 CA Practitioner - Occupational Therapist in Private Practice 0042618035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telehealth Clinical Evals LLCGroup PAC ID 2860816725, 10 clinicians

Practice addresses (Care Compare)

West Hollywood, CA 90038
Phone (725) 309-3053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22482CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Clinical Evals LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

9505 Hillwood Dr
Ste 100
Las Vegas, NV 89134
Phone (702) 303-4220

Organizations & group practices 1

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1891465829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 RICHLAND VIEW CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699660",
            "telephone_number": "408-620-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N LA BREA AVE FL 4",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900383161",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5809 W MODOC AVE",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932918527",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Richland View Ct",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920699660",
            "country_code": "US",
            "telephone_number": "408-620-4782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5852 Corral Way",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920377423",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SEAN",
        "middle_name": "K",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.