Individual provider Active NPI

Alexander Ronald Evens, D.O.

  • Infectious Disease Physician
  • Turlock, CA
National Provider Identifier
1114144649
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
20A9461 Issued in CA
Practice address
1199 Delbon Ave
Suite 5
Turlock, CA 95382-2006
Phone
(209) 656-0183
Fax
(209) 656-0199
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 20A9461 CA Primary
Internal Medicine Physician 207R00000X 20A9461 CA

Addresses

Primary practice location

1199 Delbon Ave
Suite 5
Turlock, CA 95382-2006

Mailing address

220 Standiford Ave
Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720001031 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 8628100096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as individual
Quality
96.63
Improvement activities
0
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9461CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Marin CurrentSince May 24, 2014 Accepting new patients
County of Marin CurrentSince May 24, 2014 Accepting new patients
Prima Medical Foundation CurrentSince Dec 8, 2014 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

100A Drakes Landing Rd
Ste 225
Greenbrae, CA 94904
Phone (415) 924-1214

1100 Larkspur Landing Cir
Ste 10
Larkspur, CA 94939
Phone (415) 464-1350

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

3240 Kerner Blvd
San Rafael, CA 94901
Phone (415) 473-4163

3260 Kerner Blvd
San Rafael, CA 94901
Phone (415) 507-4030

Interoperability endpoints

  • Direct secure messaging: aevens106736@direct-ucsfmedicalcenter.org

Organizations & group practices 4

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1114144649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE",
            "address_2": "STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 DELBON AVE",
            "address_2": "SUITE 5",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822006",
            "telephone_number": "209-656-0183",
            "fax_number": "209-656-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENS",
        "first_name": "ALEXANDER",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A9461",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.