Evyatar Evron MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EVYATAR EVRON MD INC

Practice address

6222 Wilshire Blvd Ste 304
Los Angeles, CA 90048-5193

Phone

(310) 733-4171

Fax

(310) 559-0996

NPI assigned

Jan 18, 2022

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evyatar Evron, MDNPI 1922596501

Title

Ceo

Phone

(310) 733-4171

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evyatar Evron, MD

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1922596501
  Medicare reassignment Authorized official
• Pagiel Shechter, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1093767337
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1114679446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 COLGATE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484205",
            "telephone_number": "310-733-4171",
            "fax_number": "310-559-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485193",
            "telephone_number": "310-733-4171",
            "fax_number": "310-559-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVYATAR EVRON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "EVRON",
        "authorized_official_first_name": "EVYATAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-733-4171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stacey L. Ewart
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• Gregory James Ewertz, M.D.
• Leon H. Ewin, MD

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.