Eduardo Sevilla

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA58445 Issued in CA

Practice address

470 Plumas Blvd Ste 201
Yuba City, CA 95991-5077

Phone

(530) 749-3601

NPI assigned

Jan 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1679915565
  Medicare reassignment NPD
• Golden State Pain Solutions Inc

  • Pain Clinic/Center
  • Carmichael, CA
  • NPI 1891458121
  Medicare reassignment
• Spine & Nerve Diagnostic Center

  • Physical Medicine & Rehabilitation Physician
  • Roseville, CA
  • NPI 1144628504
  Medicare reassignment
• Spine & Nerve Diagnostic Center

  • Physical Medicine & Rehabilitation Physician
  • Folsom, CA
  • NPI 1457902496
  NPD
• Spine & Nerve Diagnostic Center

  • Physical Medicine & Rehabilitation Physician
  • Sacramento, CA
  • NPI 1750789053
  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1700223559
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1053942888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "191-670-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PLUMAS BLVD STE 201",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915077",
            "telephone_number": "530-749-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-30",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sekhon Medical Group
• Ajaipal Singh Sekhon, DDS
• Amandeep K. Sekhon
• Daljit K Sekhon, DMD
• Winston J Serrano, M.D.
• Hannah Seymour
• Christina Shamass, MPT
• Shaness Smith Rdhap Inc.
• Paul J Shank, PA-C
• Jasdeep Shanker

• Physician Assistant in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.