Eunice Carbardo Sevilla-Anderson, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

41509 Issued in AZ

Practice address

7720 N 16TH St
Ste 425
Phoenix, AZ 85020-4492

Phone

(602) 476-0800

Fax

(602) 476-0801

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Bakersfield Family Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1013912641

  Family Medicine

  NPD (past)
• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1619936101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N 16TH ST",
            "address_2": "STE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204492",
            "telephone_number": "602-476-0800",
            "fax_number": "602-476-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 N 16TH ST",
            "address_2": "STE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204492",
            "telephone_number": "602-476-0800",
            "fax_number": "602-476-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA-ANDERSON",
        "first_name": "EUNICE",
        "middle_name": "CARBARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A41815",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "41509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597575",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A418150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anja Leigh Sever
• Benjamin Odean Severseike, MD
• Jacqueline Severson, RN, BSN, IBCLC
• Kathryn Marie Severson, M.S., CCC-SLP
• Kelly Suzanne Sevier, M.S. , P.P.S.
• Maria Teresa A Seville, MD
• James Seward, PH.D.
• Dante D Sewell
• Julia Sewell, OD
• Karli Rose Sewell

• Pediatric Adolescent Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Adolescent Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.