| Richard Sevilla, NP | |
|
1801 E March Ln, Stockton, CA 95210-6629 | |
| (209) 464-6422 | |
| (209) 464-0913 |
| Full Name | Richard Sevilla |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 1801 E March Ln, Stockton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932285921 | NPI | - | NPPES |
| 495538 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 495538 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lodi Memorial Hospital Association Inc | 7618880717 | 39 |
| Entity Name | Lodi Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
| Entity Name | Fidelity Nursing Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962247676 PECOS PAC ID: 0840725875 Enrollment ID: O20241127000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Sevilla, NP 1801 E March Ln, Stockton, CA 95210-6629 Ph: (209) 464-6422 | Richard Sevilla, NP 1801 E March Ln, Stockton, CA 95210-6629 Ph: (209) 464-6422 |
Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808 | |
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750 | |
Rex Ambatali Jr., AGACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530 | |
Shubhpreet Kaur Sohal, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-466-0456 | |
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907 | |
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190 | |
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051 |