Vanessa Sevilla

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95008325 Issued in CA

Practice address

4590 Nicole Way
Riverside, CA 92501-4301

Phone

(562) 292-0579

NPI assigned

May 14, 2018

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1972093086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 NICOLE WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 NICOLE WAY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014301",
            "telephone_number": "562-292-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Settle
• Seung M Kang & Lloyd Trieu DDS, Inc.
• Barry Bernard Severe
• Simone Severin
• Yazmar Sevilla-Perez, DPT
• Zaida Linda Sevilla
• Lou Sexson
• Sani Shabgahi
• Kyle Andrew Shackelford, RDH
• Robert Shackelford, ACSW

• Primary Care Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.