Individual provider Active NPI

S. Sean Radan, L.AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1891972626
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5858 Issued in CA
Practice address
1956 Union St
San Francisco, CA 94123-4241
Phone
(415) 921-1446
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5858 CA Primary

Addresses

Primary practice location

1956 Union St
San Francisco, CA 94123-4241

Mailing address

1956 Union St
San Francisco, CA 94123-4241
Phone (415) 921-1446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC5858CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1891972626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 UNION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234241",
            "telephone_number": "415-921-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 UNION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234241",
            "telephone_number": "415-921-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAN",
        "first_name": "S.",
        "middle_name": "SEAN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.