NPIMap

Individual provider Active NPI

Justin Evans

  • Emergency Medicine Physician
  • Lakewood, CO
National Provider Identifier
1235507724
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A16081 Issued in CA
Practice address
476 Newland St
Lakewood, CO 80226
Phone
(717) 341-0388
NPI assigned
Sep 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 20A16081 CA Primary

Addresses

Primary practice location

476 Newland St
Lakewood, CO 80226

Mailing address

476 Newland St
Lakewood, CO 80226-1765

Other practice location 1

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806001135 CA Practitioner - Emergency Medicine 8224386362 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University ofGroup PAC ID 7517869605, 126 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16081CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Multi-Specialty CurrentSince Jul 1, 2018 Accepting new patients
Regents of the University of Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Cep America - California Multi-Specialty Current Accepting new patients
Cep America - California Multi-Specialty Current Accepting new patients
Mission Viejo Emergency Medical Associates Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Mission Viejo Emergency Medical Associates, Inc. Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Comprehensive Care, Inc Multi-Specialty CurrentSince Aug 16, 2023 Accepting new patients
Cep America - California Multi-Specialty CurrentSince Jul 1, 2018 Accepting new patients
Cep America - California Multi-Specialty CurrentSince Aug 16, 2023 Accepting new patients
University of California Irvine Past Accepting new patients
Glass Beach Medical Services a Medical Corporation Multi-Specialty Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1235507724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 NEWLAND ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 NEWLAND ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "717-341-0388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A16081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.