JOHN SEVILLA
NPI 1093407306
Nurse Practitioner - Adult Health in South San Francisco, CA

Active since May 24, 2023
11 WAVERLY CT, SOUTH SAN FRANCISCO, CA 94080(650) 303-1860 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Sevilla NPPES

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

JOHN SEVILLA (NPI 1093407306) is an individual adult health provider in South San Francisco, California, licensed in California (NP95024275) and active in the NPI registry since May 2023.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1093407306
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJOHN SEVILLA
Location Address11 WAVERLY CTSouth San Francisco, CA 94080-5556
Mailing Address11 Waverly CtSouth San Francisco, CA 94080-5556 · (650) 303-1860
Sole ProprietorYes
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
NPI 1093407306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · NP95024275
11 WAVERLY CT, South San Francisco, CA 94080

Other Names 1

Other Name (5)John Marie Datu Sevilla

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093407306, enumerated as an "individual" on May 24, 2023.

The provider is located at 11 WAVERLY CT SOUTH SAN FRANCISCO, CA 94080 and the phone number is (650) 303-1860.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.