DR. ALLAN EVANGELISTA D.P.M. M.P.H. NPI 1154480887

NPI Information

NPI: 1154480887
Provider Name: DR. ALLAN EVANGELISTA, D.P.M., M.P.H.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
110 NEW STINE RD
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 832-1667
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DR. Allan Evangelista, D.P.M., M.P.H. is a foot and ankle surgery podiatrist in Bakersfield, CA. DR. Allan Evangelista, D.P.M., M.P.H. NPI is 1154480887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 NEW STINE RD
BAKERSFIELD, CA
ZIP 93309-605
Phone: (661) 832-1667
Fax: (661) 832-7145

The NPI 1154480887 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).

The enumeration date for this NPI number is 12/8/2006 and was last updated on 3/7/2023.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5423	CALIFORNIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO4022	FLORIDA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	36.003534	OHIO	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC005582	PENNSYLVANIA	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	10442	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2834099	MEDICAID	OHIO
2	2018774	OTHER		BLUE SHIELD
3	1007775620010	OTHER		PA MA GROUP
4	2022587	OTHER		BS GROUP FOR PODIATRY
5	412213	OTHER		UPMC
6	P00658026	OTHER		MC RR
7	1020943590001	MEDICAID	PENNSYLVANIA
8	812105	OTHER		HEALTH AMERICA

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: 4/28/2024

NPI Synchronization or Removal

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