Individual provider Active NPI

Evangeline Ojales, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Carson, CA
National Provider Identifier
1023405081
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001553 Issued in CA
Practice address
1000 W Carson St # 6
Harbor UCLA Medical Center- Ophthalmology Clinic 2ND FL
Carson, CA 90810-1408
Phone
(310) 222-2735
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001553 CA Primary

Addresses

Primary practice location

1000 W Carson St # 6
Harbor UCLA Medical Center- Ophthalmology Clinic 2ND FL
Carson, CA 90810-1408

Mailing address

1000 W Carson St
Eye Clinic Box 6
Carson, CA 90810-1408
Phone (310) 222-2735

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617000143 CA Order and Referring Only - Nurse Practitioner 1557872694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor UCLA Medical Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1023405081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "address_2": "EYE CLINIC BOX 6",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101408",
            "telephone_number": "310-222-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 6",
            "address_2": "HARBOR UCLA MEDICAL CENTER- OPHTHALMOLOGY CLINIC 2ND FL",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101408",
            "telephone_number": "310-222-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJALES",
        "first_name": "EVANGELINE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.