Provider Demographics
NPI:1891252912
Name:ZEPEDA, RAMONA SEVILLA (FNP)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:SEVILLA
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:SEVILLA
Other - Last Name:FONTELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1180 ROSECRANS ST UNIT 607
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2660
Mailing Address - Country:US
Mailing Address - Phone:619-512-7491
Mailing Address - Fax:
Practice Address - Street 1:1580 BROADWAY
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5124
Practice Address - Country:US
Practice Address - Phone:858-321-5372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010951363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily