Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sean Nisam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003341777

Sean Nisam is a Family Practice in Vallejo, California. Graduated from University of California, San Francisco School of Medicine in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
9
Trained at
University of California, San Francisco School of Medicine
In the registry since
2017
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Practice location Address checks out

975 Sereno Dr
Vallejo, CA 94589
Phone: (707) 651-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003341777
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 1, 2017
Last updated in NPPESFebruary 11, 2022
Mailing address335 Carrera Dr, Mill Valley, CA 94941-3999

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vallejo