Individual provider Active NPI

Ramona Sevilla Zepeda, FNP

  • Family Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1891252912
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010951 Issued in CA
Practice address
1580 Broadway
El Cajon, CA 92021-5124
Phone
(858) 321-5372
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010951 CA Primary

Addresses

Primary practice location

1580 Broadway
El Cajon, CA 92021-5124

Mailing address

1180 Rosecrans St Unit 607
San Diego, CA 92106-2660
Phone (619) 512-7491

Other practice location 1

510 E Washington Ave
El Cajon, CA 92020-5324
Phone (858) 321-5372

Other names 1

  • Ramona Sevilla Fontela Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901001345 CA Practitioner - Nurse Practitioner 6002233368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry a Richardson MD a Medical CorporationGroup PAC ID 0749537801, 9 clinicians
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians

Practice addresses (Care Compare)

2211 Cecelia Ter
San Diego, CA 92110-2326
Phone (909) 709-5646

3022 45TH St
San Diego, CA 92105-4302
Phone (312) 945-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Osman Practice, LLC CurrentSince Jan 1, 2025 Accepting new patients
Brenton D. Wynn, MD Inc CurrentSince Oct 7, 2022 Accepting new patients
Henry a. Richardson, MD a Medical Corporation CurrentSince Oct 6, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family Medicine CurrentSince Aug 6, 2020 Accepting new patients
Innovative Pain Management Medical Group Past Accepting new patients

Locations

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

510 E Washington Ave
El Cajon, CA 92020
Phone (619) 440-1211

1580 Broadway
El Cajon, CA 92021
Phone (619) 441-8745

7800 Parkway Dr
La Mesa, CA 91942
Phone (619) 460-2330

502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019

333 W Harbor Dr
Ste 126
San Diego, CA 92101

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

1180 Rosecrans St
San Diego, CA 92106

3022 45th St
San Diego, CA 92105
Phone (619) 283-5855

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1891252912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 ROSECRANS ST UNIT 607",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062660",
            "telephone_number": "619-512-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215124",
            "telephone_number": "858-321-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920205324",
            "country_code": "US",
            "telephone_number": "858-321-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "RAMONA",
        "middle_name": "SEVILLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "FONTELA",
            "middle_name": "SEVILLA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.