Individual provider Active NPI

Patrick Lumbrera Evangelista, NP

  • Acute Care Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1104675065
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95030350 Issued in CA
Practice address
1400 Reynolds Ave Ste 110
Irvine, CA 92614-5562
Phone
(949) 387-4724
Fax
(949) 209-0407
NPI assigned
May 14, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 95030350 CA Primary

Addresses

Primary practice location

1400 Reynolds Ave Ste 110
Irvine, CA 92614-5562

Mailing address

27312 Osuna
Mission Viejo, CA 92691-1016
Phone (347) 255-1951

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218004225 CA Practitioner - Nurse Practitioner 0941737621 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians
Infinity Mobile Medical GroupGroup PAC ID 7214466374, 20 clinicians
Infinity Wound Care SpecialistGroup PAC ID 7810438264, 7 clinicians

Practice addresses (Care Compare)

135 S State College Blvd
Suite 200
Brea, CA 92821-5805
Phone 88843488806

17337 Ventura Blvd
Suite 220
Encino, CA 91316-4039
Phone (818) 418-4440

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030350CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Multi-Specialty CurrentSince Jul 20, 2025 Accepting new patients
Christopher Yi MD a Professional Medical Corporation Multi-Specialty CurrentSince Feb 15, 2026 Accepting new patients
Ali Golshan MD Inc Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. Multi-Specialty CurrentSince Dec 15, 2024 Accepting new patients
Chest and Critical Care Consultants a Medical Group Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Mobile Care Medical Group, Inc Multi-Specialty CurrentSince Feb 4, 2026 Accepting new patients
Infinity Mobile Medical Group Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
University Surgeons of Orange a Medical Group Multi-Specialty CurrentSince Nov 17, 2025 Accepting new patients
Chest and Critical Care Consultants a Medical Group Multi-Specialty Current Accepting new patients
Mobile Care Medical Group, Inc Multi-Specialty CurrentSince Feb 4, 2026 Accepting new patients
Legacy Marketing Worldwide Inc. Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Infinity Wound Care Specialist Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Chest and Critical Care Consultants CurrentSince Mar 1, 2025 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

416 N Bedford Dr
Ste 306
Beverly Hills, CA 90210
Phone (310) 271-3354

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

6555 Coyle Ave
Ste 220
Carmichael, CA 95608
Phone (916) 241-9677

17337 Ventura Blvd
Ste 220
Encino, CA 91316
Phone (818) 418-4440

18111 Brookhurst St
Ste 6700
Fountain Vly, CA 92708
Phone (949) 229-2003

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

19208 Jamboree Rd
Irvine, CA 92612
Phone (657) 579-3460

5451 La Palma Ave
Ste 19
La Palma, CA 90623
Phone (714) 521-9126

4281 Katella Ave
Ste 120
Los Alamitos, CA 90720
Phone (310) 974-8767

5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1325 N Rose Dr
Ste 102
Placentia, CA 92870
Phone (417) 298-3737

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

2500 Red Hill Ave
Ste 110
Santa Ana, CA 92705
Phone (949) 229-2003

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

14350 Whittier Blvd
Ste 315
Whittier, CA 90605
Phone (562) 464-2163

9450 SW Gemini Dr
Beaverton, OR 97008
Phone (310) 974-8767

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1104675065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27312 OSUNA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911016",
            "telephone_number": "347-255-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REYNOLDS AVE STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145562",
            "telephone_number": "949-387-4724",
            "fax_number": "949-209-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "PATRICK",
        "middle_name": "LUMBRERA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95030350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.