DR. SEBASTIAN JOHNSON SASU (NPI# 1548387095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548387095 |
| Entity Type | Individual |
| Full Name | DR. SEBASTIAN JOHNSON SASU |
| Credential | M.D. |
| Practice Address |
1328 22nd St Santa Monica CA 90404-2032 |
| Practice Telephone | 3108298101 |
| Practice Fax Number | 3108296509 |
| Mailing Telephone | 3108298101 |
| Mailing Fax Number | 3108296509 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A89268 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A892680 | 05 |
| Street Address |
1328 22ND ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763094 | Laura D Alexander | Anesthesiology | 1328 22nd St, Department of Anesthesiology, Santa Monica, CA 90404-2032 | 2005-10-10 |
| 1184192049 | Javid Ghandehari, Md, A California Medical Corporation | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2018-11-08 |
| 1376918938 | Westside Neonatology Group | Pediatrics | 1328 22nd St, Santa Monica, CA 90404-2032 | 2015-12-08 |
| 1598143638 | Diana Escobar | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2015-05-08 |
| 1679992713 | Michelle Mahanian Oheb | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2014-04-15 |
| 1275977407 | James Hyun-tae Kim | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2013-04-18 |
| 1003194200 | Donald L Morton Md & Associates Medical Group | Surgery | 1328 22nd St, Santa Monica, CA 90404-2032 | 2011-07-22 |
| 1245542893 | Westside Oncology PC | Radiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2010-07-12 |
| 1366753683 | 360 Mind | Neurological Surgery | 1328 22nd St, Santa Monica, CA 90404-2032 | 2010-07-01 |
| 1669799110 | Yashar Ilkhchoui | Anesthesiology | 1328 22nd St, Santa Monica, CA 90404-2032 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245539048 | Kaveh Naemi | Pathology | 2200 Colorado Ave Apt 734, Santa Monica, CA 90404-5533 | 2011-03-18 |
| 1497904692 | Shalini Verma | Pathology | 1115 Princeton St, # E, Santa Monica, CA 90403-4719 | 2008-09-11 |
| 1083803860 | Wenjiang Chu | Pathology | 2346 Pearl St, Santa Monica, CA 90405-2853 | 2007-10-17 |
| 1235466343 | Winnie Wu | Pathology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2009-11-10 |
| 1205055472 | John Raymond Jalas | Pathology | 2121 Santa Monica Blvd, Saint John's Department of Pathology, Santa Monica, CA 90404-2303 | 2007-04-25 |
| 1184781924 | Jaime Marie Shamonki | Pathology | 1328 22nd St, Saint John's Health Center, Dept of Pathology, Santa Monica, CA 90404-2032 | 2007-01-02 |
| 1194732032 | Nathalie Orloff | Pathology | 1328 22nd St, Pathology Dept, Santa Monica, CA 90404-2032 | 2006-08-02 |
| 1417992868 | Pathology Medical Group of Saint John's | Pathology | 1328 22nd St, Pathology Dept, Santa Monica, CA 90404-2032 | 2006-06-19 |
| 1033177399 | Yuki Takasumi | Pathology | 1328 22nd St, Department of Pathology, Santa Monica, CA 90404-2032 | 2006-05-03 |
| 1609830637 | David Lowell Krasne | Pathology | 1328 22nd St, Pathology Dept, Santa Monica, CA 90404-2032 | 2006-04-14 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.