Active NPI
Elite Robotic Surgical Consultants of California PC
- Urology Physician
- Oroville, CA
National Provider Identifier
1124988639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | Primary | ||
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 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 DirectoryLocations
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.
-
- Urology Physician
- Venice, FL
- NPI 1801059894
-
- Student in an Organized Health Care Education/Training Program
- Hanford, CA
- NPI 1891487971
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.