Organization Active NPI

Marianito D Sevilla MD Inc Apc

  • Family Medicine Physician
  • National City, CA
National Provider Identifier
1043583107
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A37097 Issued in CA
Legal business name
MARIANITO D SEVILLA MD INC APC
Practice address
2340 E 8TH St
Suite D
National City, CA 91950-2869
Phone
(619) 470-7007
Fax
(619) 470-9379
NPI assigned
Feb 20, 2012
Last updated
Feb 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marianito D Sevilla, M.D.
Title
President/Owner
Phone
(619) 470-7007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A37097 CA Primary

Addresses

Primary practice location

2340 E 8TH St
Suite D
National City, CA 91950-2869

Mailing address

2340 E 8TH St
Suite D
National City, CA 91950-2869
Phone (619) 470-7007

National Provider Directory

National Provider Directory

Locations

2340 E 8th St
Ste D
National City, CA 91950
Phone (619) 470-7007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1043583107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E 8TH ST",
            "address_2": "SUITE D",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502869",
            "telephone_number": "619-470-7007",
            "fax_number": "619-470-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E 8TH ST",
            "address_2": "SUITE D",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502869",
            "telephone_number": "619-470-7007",
            "fax_number": "619-470-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANITO D SEVILLA MD INC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "SEVILLA",
        "authorized_official_first_name": "MARIANITO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-470-7007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.