Evangeline Baquiran Pelaez, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

560404 Issued in CA

Practice address

100 N Barranca St Ste 900
West Covina, CA 91791-1662

Phone

(626) 206-0523

Fax

(626) 206-0553

NPI assigned

Mar 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Practitioner Medical Group - a Professional Nursing Corp

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556
  Medicare reassignment Care Compare group NPD
• Tiamson Inc

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1124745161
  Medicare reassignment
• Lynda Lopez-Freyre FNP-C Professional Nursing Corporation

  • Nurse Practitioner
  • Seal Beach, CA
  • NPI 1720849276
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1063684546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 LOS OLIVOS LN",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141626",
            "telephone_number": "818-929-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 900",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911662",
            "telephone_number": "626-206-0523",
            "fax_number": "626-206-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "EVANGELINE",
        "middle_name": "BAQUIRAN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "560404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PCC Health Services Inc
• PCC Health Services Inc
• Amanda Kathleen Pearson
• Pediatrix Medical Group of California, a Professional Corp
• Ignacio Pedraza
• Angela Devi Pelayo-Prescott, MA
• Tanya Peltz, PA
• Ayleen Pena
• Eleanor Pena
• Giavanna Pena

• Adult Health Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.

Verify at the official NPI Registry.