Evan Thomas Geise, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A14765 Issued in CA

Practice address

4959 Palo Verde St Ste 206a-5
Montclair, CA 91763-2342

Phone

(909) 694-4016

NPI assigned

Jul 23, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evan.geise.d1.p2@direct.hvvmg.nextgenshare.com

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.

• Apex Healthcare Medical Center Inc

  dba Access First Urgent CAre

  • Specialist
  • Hemet, CA
  • NPI 1447455423
  Medicare reassignment NPD
• Southern California Hospitalist Network Medical Group Inc

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1790880458
  Medicare reassignment NPD
• Apex Healthcare Medical Center Inc

  dba Apex Hematology-Oncology

  • Hematology & Oncology Physician
  • Hemet, CA
  • NPI 1124453055
  NPD

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1215345194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 206A-5",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-694-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 206A-5",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-694-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISE",
        "first_name": "EVAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS LLC (CVS Pharmacy #16760)
• Garfield Beach CVS LLC (CVS Pharmacy 09745)
• Annel Garibay
• George Gaspar
• GB Medical Services LLC
• John Gendy
• Shanielle Gentry-Trotter
• Bharati Ghosh, MD
• Cheyenne Janelle Gibbons-Doyle, BSW
• Jose Gil

• Family Medicine Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.