Active NPI
Evan Carl White, M.D.
- Radiation Oncology Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A122204
- 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, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A122204 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Cancer Associates for Research and Excellence Inc | Radiation Oncology | Current | Accepting new patients |
| Radiation Oncology Network of Southern California | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California | Radiation Oncology | Current | Accepting new patients |
| California Cancer Associates for Research and Excellence Inc | Current | 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
- ewhite@epluscancercare.direct.varian.com
- ewhite@ionetwork.direct.varian.com
- 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.
-
- Radiation Oncology Clinic/Center
- El Centro, CA
- NPI 1336752039
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Radiation Oncology
-
dba Ccare
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1083661607
Radiation Oncology
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1902359425
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba UCSD Radiation Oncology South Bay
- Radiation Oncology Clinic/Center
- Chula Vista, CA
- NPI 1306083993
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.