Evergreen Fund

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EVERGREEN FUND

Practice address

8484 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-3235

Phone

(323) 899-9115

Fax

(323) 870-8200

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Alexander David Shohet

Title

Managing Director

Phone

(323) 899-9115

Specialties & licenses 1

Addresses

Other names 1

• Red Door Life Doing business as

Tax ID family

Evergreen Fund2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evergreen Fund

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1386399335
  NPD tax ID

Locations

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1073168142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 W SUNSET BLVD STE 1053",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462401",
            "telephone_number": "323-899-9115",
            "fax_number": "323-870-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113235",
            "telephone_number": "323-899-9115",
            "fax_number": "323-870-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SHOHET",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "323-899-9115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Door Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Door Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Eumont, PA-C
• Evan Goldstein, D.O., Inc., a Professional Corporation
• Dennis W Evangelatos, M.D.
• Matthew Allen Evans, DNP, APRN, FNP-BC
• Andrew C Everett, PT, ATC, CSCS
• Evolution Holistic Healthcare, Incorporated
• Evolution Holistic Medical Group - Los Angeles, Inc.
• Evolutionary Motion Physical Therapy and Wellness, Inc.
• Expedite Medical Billing
• Expert Care Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.