SEVILLA MEDICAL GROUP INC
NPI 1871757302
Internal Medicine in Los Angeles, CA

Active since July 14, 2008CLIA 05D0944910 · Waiver
2813 N BROADWAY, LOS ANGELES, CA 90031(323) 342-9764(323) 342-9656 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sevilla Medical Group Inc NPPES

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

SEVILLA MEDICAL GROUP INC (NPI 1871757302) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Tomas Sevilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1871757302
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEVILLA MEDICAL GROUP INC
Location Address2813 N BROADWAYLos Angeles, CA 90031-2611
Mailing AddressPo Box 31340Los Angeles, CA 90031-0340 · (323) 342-9764 · Fax (323) 342-9656
Fax(323) 342-9656
Organization SubpartNo
Authorized OfficialTomas SevillaOwner · (323) 342-9764
Enumeration DateJuly 14, 2008
Last NPPES UpdateMay 26, 2010
NPI 1871757302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A63670
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2813 N BROADWAY, Los Angeles, CA 90031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0944910

Sevilla Medical Group Inc · Los Angeles, CA
Active · expires Apr 21, 2028
CLIA Number05D0944910
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorTomas Sevilla
Laboratory Phone(323) 342-9764
Laboratory LocationSevilla Medical Group Inc2813 N Broadway, Los Angeles, CA 90031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Urgent Care)
2813 N BROADWAY
LOS ANGELES, CA 90031
Physician Assistant (Medical)
2813 N BROADWAY
LOS ANGELES, CA 90031
Specialist
2813 N BROADWAY
LOS ANGELES, CA 90031

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 Sevilla Medical Group Inc's NPI number?

The NPI number for Sevilla Medical Group Inc is 1871757302. It was assigned to this organization in the NPPES registry on July 14, 2008.

Where is Sevilla Medical Group Inc located?

Sevilla Medical Group Inc is located at 2813 N Broadway, Los Angeles, CA 90031. The listed phone number is (323) 342-9764.

What is Sevilla Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sevilla Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0944910) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sevilla Medical Group Inc was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.