NPIMap

Individual provider Active NPI

James Evans, M.D.

  • Family Medicine Physician
  • Colton, CA
National Provider Identifier
1104858059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G69416 Issued in CA
Practice address
Arrowhead Regional Medical Center
400 N. Pepper Avenue
Colton, CA 92324-9999
Phone
(909) 580-6240
Fax
(909) 580-6308
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G69416 CA Primary

Addresses

Primary practice location

Arrowhead Regional Medical Center
400 N. Pepper Avenue
Colton, CA 92324-9999

Mailing address

PO Box 5157
San Bernardino, CA 92412-5157
Phone (909) 580-6240

Other identifiers 1

IdentifierTypeStateIssuer
00G694160MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000705 CA Practitioner - Family Practice 7416916507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vituity Physician Services PC 58 clinicians
Vituity Healthcare Services PC 27 clinicians
County of San Bernardino 76 clinicians

Practice addresses (Care Compare)

16888 Baseline Ave
Fontana, CA 92336-2083
Phone (855) 422-8029

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

850 E Foothill Blvd
Rialto, CA 92376-5230
Phone (909) 421-9233

Hospital & facility affiliations

  • Med Care Plus Home Health Inc Home health agency, Pasadena, CA, CCN 058155
  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69416CAMDFamily Medicine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Vituity Physician Services PC Family Medicine CurrentSince May 1, 2024 Accepting new patients
County of San Bernardino Current Accepting new patients
Chase Dennis Emergency Medical Group Inc Family Medicine CurrentSince Oct 1, 2004 Accepting new patients
Vituity Healthcare Services PC Family Medicine CurrentSince May 1, 2024 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801

1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104858059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5157",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924125157",
            "telephone_number": "909-580-6240",
            "fax_number": "909-580-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARROWHEAD REGIONAL MEDICAL CENTER",
            "address_2": "400 N. PEPPER AVENUE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249999",
            "telephone_number": "909-580-6240",
            "fax_number": "909-580-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G694160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.