Individual provider Active NPI

Evan Carl White, M.D.

  • Radiation Oncology Physician
  • Chula Vista, CA
National Provider Identifier
1063701407
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A122204 Issued in CA
Practice address
959 Lane Ave
Chula Vista, CA 91914-4528
Phone
(619) 502-7730
Fax
(619) 502-7740
NPI assigned
Apr 6, 2011
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X A122204 CA Primary

Addresses

Primary practice location

959 Lane Ave
Chula Vista, CA 91914-4528

Mailing address

959 Lane Ave
Chula Vista, CA 91914-4528

Other practice location 1

16918 Dove Canyon Rd Ste 103
San Diego, CA 92127-3455
Phone (858) 649-5100

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
I20160928000547 CA Practitioner - Radiation Oncology 1658663976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Geffen School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology Network of Southern CaliforniaGroup PAC ID 3870906092, 5 clinicians

Practice addresses (Care Compare)

3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (800) 926-8273

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

959 Lane Ave
Chula Vista, CA 91914-4528
Phone (619) 502-7730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122204CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc Radiation Oncology CurrentSince Sep 1, 2022 Accepting new patients
Radiation Oncology Network of Southern California CurrentSince Dec 1, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Regents of the University of California Radiation Oncology CurrentSince Jun 26, 2016 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Sep 1, 2022 Accepting new patients
Cancer Treatment Services San Diego, LLC Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

959 Lane Ave
Chula Vista, CA 91914
Phone (619) 502-7730

959 Lane Ave
Bldg B
Chula Vista, CA 91914
Phone (619) 502-7721

959 Lane Ave
Ste B
Chula Vista, CA 91914
Phone (619) 502-7721

1410 S La Brucherie Rd
#B
El Centro, CA 92243
Phone (760) 339-5620

1200 Garden View Rd
Encinitas, CA 92024
Phone (760) 536-7682

1200 Garden View Rd
Ste 210
Encinitas, CA 92024
Phone (858) 246-0500

1510 E Herndon Ave
Ste 310
Fresno, CA 93720
Phone (559) 326-1222

3855 Health Sciences Dr
La Jolla, CA 92093
Phone (800) 926-8276

16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100

16918 Dove Canyon Rd
Ste 1031
San Diego, CA 92127

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ewhite@epluscancercare.direct.varian.com
  • Direct secure messaging: ewhite@ionetwork.direct.varian.com
  • Direct secure messaging: ewhite34297@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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 1

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1063701407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 LANE AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 LANE AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144528",
            "telephone_number": "619-502-7730",
            "fax_number": "619-502-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16918 Dove Canyon Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921273455",
            "country_code": "US",
            "telephone_number": "858-649-5100",
            "fax_number": "858-649-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "EVAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A122204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.