Active NPI
Patrick Lumbrera Evangelista, NP
- Acute Care Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95030350
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95030350 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Multi-Specialty | Current | Accepting new patients |
| Christopher Yi MD a Professional Medical Corporation | Multi-Specialty | Current | Accepting new patients |
| Ali Golshan MD Inc | Multi-Specialty | Current | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Chest and Critical Care Consultants a Medical Group | Multi-Specialty | Current | Accepting new patients |
| Mobile Care Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Infinity Mobile Medical Group | Multi-Specialty | Current | Accepting new patients |
| University Surgeons of Orange a Medical Group | Multi-Specialty | Current | Accepting new patients |
| Chest and Critical Care Consultants a Medical Group | Multi-Specialty | Current | Accepting new patients |
| Mobile Care Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Legacy Marketing Worldwide Inc. | Multi-Specialty | Current | Accepting new patients |
| Infinity Wound Care Specialist | Multi-Specialty | Current | Accepting new patients |
| Chest and Critical Care Consultants | Current | 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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
Multi-Specialty
-
- Wound Care Registered Nurse
- Encino, CA
- NPI 1275361941
Multi-Specialty
-
dba Professional Wound Specialists
- Surgery Physician
- Las Vegas, NV
- NPI 1699975144
CA
-
dba Family Health Center of La Palma
- Internal Medicine Physician
- Anaheim, CA
- NPI 1598852717
Multi-Specialty
-
dba Vital Vein and Vascular
- Vascular Surgery Physician
- Santa Ana, CA
- NPI 1942086244
Multi-Specialty
-
dba Perpetual Medical Group
- Primary Care Nurse Practitioner
- Los Angeles, CA
- NPI 1336505197
Multi-Specialty
-
- Primary Care Nurse Practitioner
- Union City, CA
- NPI 1629642921
Multi-Specialty
-
dba University Anesthesia Associates
- Anesthesiology Physician
- Orange, CA
- NPI 1487602546
Multi-Specialty
-
dba Regents of the University of California
- Surgery Physician
- Orange, CA
- NPI 1407806904
Multi-Specialty
-
- Surgery Physician
- Pomona, CA
- NPI 1437988326
-
- Vascular & Interventional Radiology Physician
- Beverly Hills, CA
- NPI 1366981581
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.