Active NPI
Evan Sirc, MD
- Diagnostic Radiology Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A119825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003019654 | Medicaid | CA | |
| 00A1198250 | Other | CA | BCBS OF CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- University of Minnesota Medical School, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
- San Ramon Regional Medical Center
- Contra Costa Regional Medical Center
- Sutter Delta Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.63 of 100
- Quality
- 67.56
- Improvement activities
- 40
- Cost
- 71.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.67 of 100
- Quality
- 84.1
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Doctors Resources Company, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Magnetic Imaging Affiliates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Michael P Sherman MD PHD, a Medical Corporation | Current | Accepting new patients | |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Current | 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
- esirc336985@hisp.ehr.sutterhealth.org
- 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.
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Hematology & Oncology Physician
- Walnut Creek, CA
- NPI 1831201912
-
- Diagnostic Radiology Physician
- Honolulu, HI
- NPI 1134681067
-
- Diagnostic Radiology Physician
- Brentwood, CA
- NPI 1730335605
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1831756139
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1659416907
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.