Emanuel Sevilla, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95001641 Issued in CA

Practice address

25825 Vermont Ave
Harbor City, CA 90710-3518

Phone

(833) 574-2273

NPI assigned

Dec 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Landmark Anesthesia Medical GroupGroup PAC ID 5698055804, 19 clinicians

Marquee Anesthesia Consultants IncGroup PAC ID 6204169006, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Landmark Anesthesia Medical Group

  • Anesthesiology Physician
  • Lynwood, CA
  • NPI 1770035024
  Medicare reassignment Care Compare group NPD
• Marquee Anesthesia Consultants Inc

  • Certified Registered Nurse Anesthetist
  • Redlands, CA
  • NPI 1760942619

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment Care Compare group NPD
• Digestive Health Associates of Southern California

  • Certified Registered Nurse Anesthetist
  • Santa Monica, CA
  • NPI 1639604747

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Innovative Minimally Invasive Imaging & Therapeutics, Inc

  • Vascular & Interventional Radiology Physician
  • Rancho Cucamonga, CA
  • NPI 1952758849
  Medicare reassignment NPD
• Pih Health Physicians

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1609233899
  Medicare reassignment NPD
• San Gabriel Anesthesia Associates, PC

  • Certified Registered Nurse Anesthetist
  • Santa Ana, CA
  • NPI 1538424908

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Digestive Health Associates of Southern California

  • Anatomic Pathology & Clinical Pathology Physician
  • Santa Monica, CA
  • NPI 1043098619
  NPD
• Pih Health Physicians

  • Family Medicine Physician
  • Downey, CA
  • NPI 1083266233
  NPD
• Pih Health Physicians

  • Anesthesiology Physician
  • Downey, CA
  • NPI 1447931506
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Harbor City, CA
  • NPI 1598797011
  NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1750040739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 IROQUOIS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25825 VERMONT AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103518",
            "telephone_number": "833-574-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "EMANUEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Gregory Scott
• Dejerre Lachelle Scurry
• Peter Sender, MD
• Theresa Victoria Settle, LCSW
• Sarah Elizabeth Severios, DPT
• Salvador Sevilla Jr.
• Matthew Shackelford, LCSW
• Kishor R. Shah, MD
• Menna Sharafeldeen
• David C. Shaw, MD

• Certified Registered Nurse Anesthetist in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.