Individual provider Active NPI

Sean M Amos, M.D.

  • Hospitalist Physician
  • Orange, CA
National Provider Identifier
1992715007
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD172191 Issued in OR
Practice address
1310 W Stewart Dr Ste 410
Orange, CA 92868-3855
Phone
(714) 639-9401
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A91093 CA
Internal Medicine Physician 207R00000X MD2012-0199 NM
Hospitalist Physician 208M00000X MD172191 OR Primary
Internal Medicine Physician 207R00000X MD172191 OR

Addresses

Primary practice location

1310 W Stewart Dr Ste 410
Orange, CA 92868-3855

Mailing address

1310 W Stewart Dr Ste 410
Orange, CA 92868-3855
Phone (714) 639-9401

Other identifiers 2

IdentifierTypeStateIssuer
A91093OtherCAST. LICENSE
P00348143OtherCAMC RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20150711000106 OR Practitioner - HospitalistPractitioner - Internal Medicine 0941205140 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Harvard Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000

Hospital & facility affiliations

  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2012-0199NMMDInternal Medicine Physician
MD172191ORMDInternal Medicine Physician
A91093CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curry Health District Current Accepting new patients
Curry Health District CurrentSince Feb 6, 2016 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
Vibra Physicians LLC Hospitalist CurrentSince Jun 1, 2022 Accepting new patients
Apogee Medical Group Vermont PC Internal Medicine Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

Interoperability endpoints

  • Direct secure messaging: samos326412@ahs.direct-ci.com

Organizations & group practices 6

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 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1992715007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-639-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-639-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A91093",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2012-0199",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD172191",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD172191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST. LICENSE",
            "identifier": "A91093",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD",
            "identifier": "P00348143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.