Individual provider Active NPI

Evelyn Denebeim, M.D.

  • Obstetrics & Gynecology Physician
  • Torrance, CA
National Provider Identifier
1013278647
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A129221 Issued in CA
Practice address
20911 Earl St Ste 440
Torrance, CA 90503-4355
Phone
(310) 419-8585
NPI assigned
May 30, 2012
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A129221 CA Primary

Addresses

Primary practice location

20911 Earl St Ste 440
Torrance, CA 90503-4355

Mailing address

20911 Earl St Ste 440
Torrance, CA 90503-4355
Phone (310) 793-2566

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address edenebeim631061@oc.providencedirect.org
Direct Messaging Address edenebeim631061@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160929002546 CA Practitioner - Obstetrics/Gynecology 5092030460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Irvine, California College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

520 N Prospect Ave
Suite 203
Redondo Beach, CA 90277-3042
Phone (310) 318-5509

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Obstetrics & Gynecology CurrentSince Jan 2, 2017 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jun 21, 2023 Accepting new patients
Providence Medical Institute Obstetrics & Gynecology Current Accepting new patients
Providence Medical Institute Obstetrics & Gynecology CurrentSince Jan 2, 2017 Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

520 N Prospect Ave
Ste 203
Redondo Beach, CA 90277
Phone (310) 318-5509

20911 Earl St
Ste 440
Torrance, CA 90503
Phone (310) 419-8585

20911 Earl St
Ste 480
Torrance, CA 90503
Phone (310) 370-7277

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1013278647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-793-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 440",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034355",
            "telephone_number": "310-419-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEBEIM",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A129221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edenebeim631061@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "520 N Prospect Ave Ste 203",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902773042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edenebeim631061@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "20911 Earl St Ste 440",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905034355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.