Amanda Sevilla, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86108221 Issued in CA

Practice address

2474 Canyon Terrace Dr
Chino Hills, CA 91709-4403

Phone

(909) 538-5172

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1922616259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 CANYON TERRACE DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094403",
            "telephone_number": "909-538-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 CANYON TERRACE DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094403",
            "telephone_number": "909-538-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "AMANDA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86108221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Andrew Schnebelt, MFTI
• Scott Won Chiropractic Corporation
• Self Discovery Center
• Kelli Sento, BS, PTA, CSCS
• Erika M Sequeira, DDS
• Patricia Bandera Sevilla
• Akash Ketan Shah, M.D.
• Jay Shah, DO
• Simran Shah
• Uday N Shah, D.D.S.

• Registered Dietitian in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.