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

Individual provider Physician Assistant · NPI 1609504687

Sebastian Sander is a Physician Assistant in Seattle, Washington. Qualified in 2022, 4 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone: (509) 998-1577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 — (909) 558-2808

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63067 (CA)

Record details

NPI number1609504687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address25455 Barton Rd Ste 102b, Loma Linda, CA 92354-3139

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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