Individual provider Active NPI

Evan Sirc, MD

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
National Provider Identifier
1003019654
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A119825 Issued in CA
Practice address
1661 Soquel Dr Ste G
Santa Cruz, CA 95065-1709
Phone
(831) 476-7711
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A119825 CA Primary

Addresses

Primary practice location

1661 Soquel Dr Ste G
Santa Cruz, CA 95065-1709

Mailing address

1661 Soquel Dr Ste G
Santa Cruz, CA 95065-1709
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
1003019654MedicaidCA
00A1198250OtherCABCBS OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130806000699 CA Practitioner - Nuclear Medicine 9234371196 Reassigns benefits to 7 organizations
I20260120000774 HI Practitioner - Diagnostic Radiology 9234371196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University of Minnesota Medical School, 2007
Medicare assignment
May accept Medicare assignment
Group practices
John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2410 High School Ave
Concord, CA 94520-1829
Phone (925) 687-5600

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4107

500 Ala Moana Blvd
Suite 7 421
Honolulu, HI 96813-4902
Phone (925) 296-7150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Queens North Hawaii Community Hospital Current Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Dec 4, 2016 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Doctors Resources Company, LLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 31, 2025 Accepting new patients
Queens University Medical Group CurrentSince Jan 31, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince Jun 8, 2016 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Apr 1, 2016 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
University of California San Francisco Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

2540 East St
Concord, CA 94520
Phone (925) 674-2228

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

140 Brookwood Rd
Ste 100
Orinda, CA 94563
Phone (925) 254-9090

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

500 Ala Moana Blvd
Ste 7421
Honolulu, HI 96813

Interoperability endpoints

  • Direct secure messaging: esirc336985@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1003019654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE G",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "949-263-8620",
            "fax_number": "800-409-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE G",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRC",
        "first_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A119825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003019654",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF CA",
            "identifier": "00A1198250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.