NPIMap

Individual provider Active NPI

Clifford John Sewell, M.D.

  • Internal Medicine Physician
  • Danville, CA
National Provider Identifier
1851437123
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A55442 Issued in CA
Practice address
400 El Cerro Blvd Ste 102
Danville, CA 94526-1731
Phone
(925) 855-3780
Fax
(925) 855-3785
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A55442 CA Primary

Addresses

Primary practice location

400 El Cerro Blvd Ste 102
Danville, CA 94526-1731

Mailing address

400 El Cerro Blvd Ste 102
Danville, CA 94526-1731
Phone (925) 855-3780

Other practice location 1

990 Columbus Ave
San Francisco, CA 94133-2310
Phone (415) 732-7029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danvillemd@212.direct.myezaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113002285 CA Practitioner - Internal Medicine 6002037967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 El Cerro Blvd
Suite 102
Danville, CA 94526-1731
Phone (925) 855-3780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A55442CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Health Medical Partners Inc Internal Medicine Current Accepting new patients
Claret Medical Group Inc. Internal Medicine CurrentSince Sep 23, 2020 Accepting new patients

Locations

400 El Cerro Blvd
Ste 102
Danville, CA 94526
Phone (925) 855-3780

990 Columbus Ave
San Francisco, CA 94133
Phone (415) 732-7029

Interoperability endpoints

  • Direct secure messaging: clifford.sewell.1@27457.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1851437123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EL CERRO BLVD STE 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261731",
            "telephone_number": "925-855-3780",
            "fax_number": "925-855-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EL CERRO BLVD STE 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261731",
            "telephone_number": "925-855-3780",
            "fax_number": "925-855-3785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941332310",
            "country_code": "US",
            "telephone_number": "415-732-7029",
            "fax_number": "415-732-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "CLIFFORD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danvillemd@212.direct.myezaccess.com",
            "affiliation": "N",
            "endpointDescription": "Direct messaging to EMR Centricity",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 El Cerro Blvd Ste 102",
            "city": "Danville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945261731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.