Sharon C Sevilla-bodine, MD | |
2051 John Jones Rd, Davis, CA 95616-9701 | |
(530) 753-3498 | |
(530) 758-2109 |
Full Name | Sharon C Sevilla-bodine |
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Gender | Female |
Speciality | Pediatrics |
Location | 2051 John Jones Rd, Davis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366479859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C53818 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
---|---|
Sharon C Sevilla-bodine, MD 150 Tejas Pl, Po Box 430, Nipomo, CA 93444-9123 Ph: (805) 929-3211 | Sharon C Sevilla-bodine, MD 2051 John Jones Rd, Davis, CA 95616-9701 Ph: (530) 753-3498 |
Eric Sales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Shields Ave, Davis, CA 95616 Phone: 530-752-8356 Fax: 530-754-5842 | |
Dr. Lyn Taylor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2040 Sutter Place, Davis, CA 95616 Phone: 530-758-2060 | |
James W. Eusebio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Sutter Pl, Suite 201, Davis, CA 95616 Phone: 530-750-5959 | |
Dr. Kristin Nguyen Friend, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Sutter Pl, Suite 201, Davis, CA 95616 Phone: 530-750-5959 | |
John Xuelin Li, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 684 Hutchison Dr, Davis, CA 95616 Phone: 530-297-2330 Fax: 210-479-2010 | |
Dr. Pamela O Petersen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 W Covell Blvd, Davis, CA 95616 Phone: 530-756-2364 Fax: 530-756-5817 | |
Dr. John F Oberholtzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Sutter Pl, #201, Davis, CA 95616 Phone: 530-750-5959 Fax: 530-759-5960 |