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DR. SHAMIR SEVILLA PEREZ DDS
NPI 1992077572
Dentist - General Practice in Redwood Valley, CA

Active since January 30, 2012PECOS Enrolled
6991 N STATE ST, REDWOOD VALLEY, CA 95470(707) 485-5115(707) 485-5127 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shamir Sevilla Perez Dds NPPES

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

DR. SHAMIR SEVILLA PEREZ DDS (NPI 1992077572) is an individual general practice provider in Redwood Valley, California, licensed in California (60957) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992077572
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAMIR SEVILLA PEREZCredential: DDS
Location Address6991 N STATE STRedwood Valley, CA 95470-9629
Mailing Address6991 N State StRedwood Valley, CA 95470-9629 · (707) 485-5115 · Fax (707) 485-5127
Phone(707) 485-5115
Fax(707) 485-5127
Sole ProprietorYes
Enumeration DateJanuary 30, 2012
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1992077572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 60957✔ Licensed in TX · 27490
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6991 N STATE ST, Redwood Valley, CA 95470
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shamir Sevilla Perez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shamir Sevilla Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mendocino Community Health Clinic, Inc.
7.4 mi
Federally Qualified Health Center (FQHC)
1165 S DORA ST STE B1
Ukiah, CA 95482
  • Reassigned Medicare billing, California enrollment
  • 121 clinicians in this Medicare group
NPI 1750809463 (707) 468-1010

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHN KNAPP DDS
Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
CONSOLIDATED TRIBAL HEALTH PROJECT, INC.
Clinic/Center (Health Service)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
CONSOLIDATED TRIBAL HEALTH PROJECT INC
Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
CONSOLIDATED TRIBAL HEALTH PROJECT INC
Dentist (General Practice)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
NANCY INCERTI L.AC.
Acupuncturist
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
MOLLY MCBRIDE BROWN LCSW
Social Worker (Clinical)
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
DR. DAVID E ALMOND M.D.
Internal Medicine
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115
TANYA O ESTRADA-RUIZ
Massage Therapist
6991 N STATE ST
REDWOOD VALLEY, CA 95470
Mendocino County (707) 485-5115

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 Shamir Sevilla Perez's NPI number?

The NPI number for Shamir Sevilla Perez is 1992077572. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Where is Shamir Sevilla Perez located?

Shamir Sevilla Perez practices at 6991 N State St, Redwood Valley, CA 95470. The listed phone number is (707) 485-5115.

What is Shamir Sevilla Perez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shamir Sevilla Perez enrolled in Medicare?

Yes. Shamir Sevilla Perez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shamir Sevilla Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamir Sevilla Perez reassigns Medicare benefits to Mendocino Community Health Clinic, Inc. (Ukiah, 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 Shamir Sevilla Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shamir Sevilla Perez accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Shamir Sevilla Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shamir Sevilla Perez was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.