Healthcare Provider Details

I. General information

NPI: 1215871918
Provider Name (Legal Business Name): SEVA CA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 CALIFORNIA ST STE 1624
SAN FRANCISCO CA
94104-1021
US

IV. Provider business mailing address

580 CALIFORNIA ST STE 1624
SAN FRANCISCO CA
94104-1021
US

V. Phone/Fax

Practice location:
  • Phone: 202-213-2339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER MOORE
Title or Position: OWNER
Credential: MD
Phone: 202-213-2339