Evelyn J Nakagawa MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EVELYN J NAKAGAWA MD INC

Practice address

2800 Benedict Dr
San Leandro, CA 94577-6840

Phone

(415) 945-1010

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Evelyn J Nakagawa, MDNPI 1023077294

Title

President

Phone

(415) 945-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Junko Nakagawa, M.D.

  • Internal Medicine Physician
  • San Leandro, CA
  • NPI 1023077294
  Medicare reassignment Care Compare group NPD Authorized official
• Edward D. Esplin, MD, PHD

  • Internal Medicine Physician
  • Stanford, CA
  • NPI 1689883308
  Medicare reassignment Care Compare group NPD
• Juan-David Nino-Lopez, NP

  • Family Nurse Practitioner
  • Oakland, CA
  • NPI 1386307569

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Michelle Gordon-Canning, P.A.

  • Physician Assistant
  • New Haven, CT
  • NPI 1184637654

  CA

  Medicare reassignment

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1003577305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TAMAL VISTA BLVD",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251107",
            "telephone_number": "415-233-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BENEDICT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776840",
            "telephone_number": "415-945-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN J NAKAGAWA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "NAKAGAWA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-945-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivory Evans, RESPIRATORY CARE
• Jenna Gronli Evans
• Kristen Evans
• Lydia Imani Evans
• Sharorie Renell Evans
• Elizabeth Evelyn
• Kristen Misiak Everett, M.D.
• Erika Simone Everly
• Alexis Everson
• Katelyn Mary Ewanich

• Internal Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.