DR. SEAN PRATER M.D.
NPI 1710366141
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Sean Prater's NPI number?

The NPI number for Sean Prater is 1710366141. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Sean Prater's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Prater was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2015PECOS Enrolled

2230 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2614 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sean Prater M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN PRATER M.D. (NPI 1710366141) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710366141

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SEAN PRATERCredential: M.D.

Location Address2230 STOCKTON BLVDSacramento, CA 95817-1353

Mailing Address2230 Stockton BlvdSacramento, CA 95817-1353 · (916) 734-2614

Phone(916) 734-2614

Sole ProprietorNo

Enumeration DateMay 18, 2015

✔ NPI 1710366141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2230 STOCKTON BLVD, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Prater M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENATA M BOTELLO

Case Manager/Care Coordinator