Healthcare Provider Details

I. General information

NPI: 1205924784
Provider Name (Legal Business Name): SEAN K KEEM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4151 FOOTHILL RD
SANTA BARBARA CA
93110-1110
US

IV. Provider business mailing address

PO BOX 276004
SACRAMENTO CA
95827-6004
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-7584
  • Fax: 805-687-7824
Mailing address:
  • Phone: 800-478-8837
  • Fax: 916-739-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD60413108
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD60413108
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberG168800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: