Individual provider Active NPI

Sean T. Moloney, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Mateo, CA
National Provider Identifier
1891828547
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G45066 Issued in CA
Practice address
101 S San Mateo Dr Ste 200
San Mateo, CA 94401-3843
Phone
(650) 756-6900
Fax
(650) 756-6997
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G45066 CA
Plastic and Reconstructive Surgery Physician 2086S0122X G45066 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 200
San Mateo, CA 94401-3843

Mailing address

101 S San Mateo Dr Ste 200
San Mateo, CA 94401-3843
Phone (650) 756-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000706 CA Practitioner - Plastic and Reconstructive Surgery 4385729391 Practice locations: Daly City, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Saint Louis University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Sullivan Ave
Daly City, CA 94015-2222
Phone (650) 756-6900

Hospital & facility affiliations

  • Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45066CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: smoloney45735@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1891828547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013843",
            "telephone_number": "650-756-6900",
            "fax_number": "650-756-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013843",
            "telephone_number": "650-756-6900",
            "fax_number": "650-756-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLONEY",
        "first_name": "SEAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G45066",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G45066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.