Alvin Pelayo Evangelista, L.V.N.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 208750 Issued in CA

Practice address

1 Chisholm TRL
Trabuco Canyon, CA 92679-1416

Phone

(949) 459-1589

Fax

(949) 459-1589

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1205146305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRL",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791416",
            "telephone_number": "949-459-1589",
            "fax_number": "949-459-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRL",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926791416",
            "telephone_number": "949-459-1589",
            "fax_number": "949-459-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "ALVIN",
        "middle_name": "PELAYO",
        "name_prefix": "Mr.",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 208750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorcas Mouray Eaves, M.D.
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• Angela Marie Fernandez
• Sierra Morgan Flynn, AMFT

• Licensed Vocational Nurse in Trabuco Canyon, CA
• Providers in Trabuco Canyon, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.