Organization Active NPI

Elite Robotic Surgical Consultants of California PC

  • Urology Physician
  • Oroville, CA
National Provider Identifier
1124988639
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ELITE ROBOTIC SURGICAL CONSULTANTS OF CALIFORNIA PC
Practice address
2450 Oro Dam Blvd E
Oroville, CA 95966-6052
Phone
(530) 533-2856
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Jaclyn Evans
Title
Executive Administrator
Phone
(727) 480-2734

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088F0040X

Addresses

Primary practice location

2450 Oro Dam Blvd E
Oroville, CA 95966-6052

Mailing address

PO Box 2592
Rancho Santa Fe, CA 92067-2592

Other practice location 1

2721 Olive Hwy Ste 10B
Oroville, CA 95966-6115
Phone (530) 532-8687

Other practice location 2

804 W 7th St
Hanford, CA 93230-4926
Phone (559) 537-0415

Other practice location 3

1025 N Douty St Fl 3
Hanford, CA 93230-3722
Phone (559) 537-0170

National Provider Directory

National Provider Directory

Locations

1025 N Douty St
Fl 3
Hanford, CA 93230
Phone (559) 537-0170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1124988639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2592",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920672592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ORO DAM BLVD E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666052",
            "telephone_number": "530-533-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 Olive Hwy Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "CA",
            "postal_code": "959666115",
            "country_code": "US",
            "telephone_number": "530-532-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304926",
            "country_code": "US",
            "telephone_number": "559-537-0415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 N Douty St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303722",
            "country_code": "US",
            "telephone_number": "559-537-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE ROBOTIC SURGICAL CONSULTANTS OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-480-2734"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.