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JOHN JOSEPH BENEDICT SEVILLA
NPI 1053880591
Marriage & Family Therapist in Pomona, CA

Active since November 14, 2018PECOS EnrolledAccepts Medicare Assignment
160 E HOLT AVE STE B, POMONA, CA 91767(909) 620-2521 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2024, Aug 28, 2023, Jun 10, 2020 and 1 more (4 updates tracked since 2018).

About John Joseph Benedict Sevilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN JOSEPH BENEDICT SEVILLA (NPI 1053880591) is an individual marriage & family therapist in Pomona, California, licensed in California (141170) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053880591
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJOHN JOSEPH BENEDICT SEVILLA
Location Address160 E HOLT AVE STE BPomona, CA 91767-5407
Mailing AddressPo Box 2267Sepulveda, CA 91393-2267
Phone(909) 620-2521
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 14, 2018
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1053880591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 141170✔ Licensed in CA · 109377
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
160 E HOLT AVE STE B, Pomona, CA 91767
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Joseph Benedict Sevilla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234661794
PECOS Enrollment IDI20241022003052
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Joseph Benedict Sevilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
14 mi
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYDY BRAN-ORONA
Counselor (Mental Health)
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MARGARET PENNINGTON
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
ROCIO HERNANDEZ
Student in an Organized Health Care Education/Training Program
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. MARCUS KNIGHT
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
IVETTE GONZALEZ
Counselor (Mental Health)
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
VICTOR MORA
Counselor
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. FRANK YBARRA JR.
Rehabilitation Practitioner
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MR. DONALD MARTINEZ MFT - INTERN
Marriage & Family Therapist
160 E HOLT AVE STE B
POMONA, CA 91767
Los Angeles County (909) 620-2521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Joseph Benedict Sevilla's NPI number?

The NPI number for John Joseph Benedict Sevilla is 1053880591. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is John Joseph Benedict Sevilla located?

John Joseph Benedict Sevilla practices at 160 E Holt Ave Ste B, Pomona, CA 91767. The listed phone number is (909) 620-2521.

What is John Joseph Benedict Sevilla's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is John Joseph Benedict Sevilla enrolled in Medicare?

Yes. John Joseph Benedict Sevilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Joseph Benedict Sevilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Joseph Benedict Sevilla reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Joseph Benedict Sevilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Joseph Benedict Sevilla was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.