PATRICK LUMBRERA EVANGELISTA NP NPI 1104675065

NPI Information

  • NPI: 1104675065
  • Provider Name: PATRICK LUMBRERA EVANGELISTA, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 REYNOLDS AVE STE 110
    IRVINE, CA
    ZIP 92614
  • Phone: (949) 387-4724

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NPI Details

Patrick Lumbrera Evangelista, NP is an acute care nurse practitioner in Irvine, CA with 4 years of experience. Patrick Lumbrera Evangelista, NP NPI is 1104675065. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 REYNOLDS AVE STE 110
IRVINE, CA
ZIP 92614-562
Phone: (949) 387-4724
Fax: (949) 209-0407

The NPI 1104675065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2024 and was last updated on 5/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care95030350CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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