Christian Noel I Evangelista, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95022586 Issued in CA

Practice address

560 S Paseo Dorotea Ste 4a
Palm Springs, CA 92264-1434

Phone

(951) 297-8375

Fax

(951) 602-8264

NPI assigned

Jan 20, 2023

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Cyrus Nasserian MD Cesar Cruz MD Sambin Wang DO and Zaheib Idrees D

  • Psychiatry Physician
  • Covina, CA
  • NPI 1326727074
  Medicare reassignment NPD
• Pacific Ocean Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Fremont, CA
  • NPI 1386154342
  Medicare reassignment
• Karma Doctors & Associates, P.C.

  • Psychiatry Physician
  • Villa Park, CA
  • NPI 1205450418
  NPD
• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  NPD (past)

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1235844580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 MARYHELEN ST APT 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797733",
            "telephone_number": "951-824-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S PASEO DOROTEA STE 4A",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641434",
            "telephone_number": "951-297-8375",
            "fax_number": "951-602-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "CHRISTIAN NOEL",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Imelda Espinoza
• Jillian Mae Espinueva
• Jacqueline Esqueda
• David Robert Esquibel, OD
• Patricia Estrada
• Essence Noelle Evans, CCMA
• Veronica Everett, LVN
• Brenda Ewing
• Wade F Exum, MD
• Thomas Allan Eyring, L.AC.

• Psychiatric/Mental Health Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.