Charles Marshal Sevadjian, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C38526 Issued in CA

Practice address

2881 4TH Ave
San Diego, CA 92103-6207

Phone

(619) 291-8292

Fax

(619) 291-8229

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dermatology Surgical and Medical, Apc

  • Dermatology Physician
  • San Diego, CA
  • NPI 1851645253

  Dermatology

  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801908280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036207",
            "telephone_number": "619-291-8292",
            "fax_number": "619-291-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036207",
            "telephone_number": "619-291-8292",
            "fax_number": "619-291-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVADJIAN",
        "first_name": "CHARLES",
        "middle_name": "MARSHAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C38526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kheyrsten Seuferer
• Kamea Seunarine
• Rebecca Seutter
• Seva
• Seva, LLC
• Rachel M Sevem, PHARM.D.
• Sean Sevem, PHARM. D.
• Patricia Sevener, MT
• Tamara A Severance, NP
• Aimee Taylor Severe, MFT

• All providers in San Diego, CA
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.