Evagelos Coskinas MD a Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EVAGELOS COSKINAS MD A MEDICAL CORPORATION

Practice address

301 Victoria St
Costa Mesa, CA 92627-1995

Phone

(949) 500-5108

Fax

(951) 244-0747

NPI assigned

Nov 9, 2022

Organization subpart

Yes

Parent organization

EVAGELOS COSKINAS MD A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Evagelos Coskinas, MDNPI 1437382314

Title

Owner/Psychiatrist

Phone

(949) 500-5108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Evagelos Coskinas MD a Medical Corporation

Locations

Practitioners 4

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

• Evagelos Coskinas, M.D.

  • Psychiatry Physician
  • Costa Mesa, CA
  • NPI 1437382314
  Medicare reassignment Care Compare group NPD Authorized official
• Marina Evie Coskinas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
  • NPI 1407682875
  Medicare reassignment Care Compare group NPD
• Trace Huang, MD

  • Psychiatry Physician
  • Loma Linda, CA
  • NPI 1962082982
  Medicare reassignment Care Compare group NPD
• Monique Renee Sinclare, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1710521646
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1053029918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31103 RANCHO VIEJO RD STE D3319",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751759",
            "telephone_number": "951-244-4147",
            "fax_number": "951-244-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271995",
            "telephone_number": "949-500-5108",
            "fax_number": "951-244-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAGELOS COSKINAS MD A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVAGELOS COSKINAS MD  A MEDICAL CORPORATION",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "COSKINAS",
        "authorized_official_first_name": "EVAGELOS",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "949-500-5108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etc Consultants Inc
• Suzan Janette Etheridge, AMFT
• Ethos Medical Supply, Inc.
• Randiann Ethridge, M.S.
• Kirsten Serena Gonzales Eustace, MS ATC
• Eval-Docs
• Cynthia Evans
• Imani Simone Evans
• Julia Evans, PH.D.
• Nathan Evans, H.I.S.

• Psychiatry Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.