Active NPI
Catherine Jungeun Evans, M.D.
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A139887
- Practice address
- 1500 San Pablo St FL 2
Los Angeles, CA 90033-5313 - Phone
- (323) 442-8541
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R74542 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | A139887 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Mailing address
42 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0401
Other practice location 1
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-5096
Other practice location 2
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 465-0401
Other names 1
- Catherine Lo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
- 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
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 465-0401
Hospital & facility affiliations
- Boulder Community Health
- University of Colorado Hospital Authority
- Uchealth Broomfield Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R74542 | AZ | MD | Internal Medicine Physician |
| A139887 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Radiologists Inc P C | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Bouldercentre for Orthopedics PC | Past | Accepting new patients |
Locations
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541
4740 Pearl Pkwy
Ste 110
Boulder, CO 80301
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199
2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000
2880 Folsom St
Ste 100
Boulder, CO 80304
Phone (303) 247-9696
42 Garden Ctr
Broomfield, CO 80020
36 Garden Ctr
Broomfield, CO 80020
Phone (303) 465-0401
101 Erie Pkwy
Erie, CO 80516
Phone (303) 415-5170
1000 W South Boulder Rd
Ste 105
Lafayette, CO 80026
Phone (303) 604-5031
Organizations & group practices 4
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
- Boulder, CO
- NPI 1891756813
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
Hospital & facility affiliations 62
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1013329648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 GARDEN CTR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201730",
"telephone_number": "303-465-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "323-442-8541"
}
],
"practiceLocations": [
{
"address_1": "5301 E Grant Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122805",
"country_code": "US",
"telephone_number": "520-324-5096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4747 Arapahoe Ave",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803031131",
"country_code": "US",
"telephone_number": "303-465-0401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "CATHERINE",
"middle_name": "JUNGEUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R74542",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A139887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "LO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.