Individual provider Active NPI

Sevinch Djalilova, DMD

  • General Practice Dentistry
  • Davis, CA
National Provider Identifier
1780598359
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
113886 Issued in CA
Practice address
1736 Picasso Ave Ste D
Davis, CA 95618-0548
Phone
(530) 756-3340
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 113886 CA Primary

Addresses

Primary practice location

1736 Picasso Ave Ste D
Davis, CA 95618-0548

Mailing address

7012 Staccato Way
Roseville, CA 95747-4351
Phone (916) 502-3182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1780598359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 STACCATO WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474351",
            "telephone_number": "916-502-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 PICASSO AVE STE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180548",
            "telephone_number": "530-756-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJALILOVA",
        "first_name": "SEVINCH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.