Active NPI
Evita Joseph, MD
- Adult Medicine Physician
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A197853
- Practice address
- 260 Hospital Dr Ste 103
Ukiah, CA 95482-4568 - Phone
- (707) 467-3123
- Fax
- (707) 462-3063
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A197853 | CA | |
| Adult Medicine Physician | 207QA0505X | A197853 | CA | Primary |
Addresses
Primary practice location
260 Hospital Dr Ste 103
Ukiah, CA 95482-4568
Mailing address
260 Hospital Dr Ste 103
Ukiah, CA 95482-4568
Phone (707) 467-3123
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukiah Adventist Hospital
Practice addresses (Care Compare)
260 Hospital Dr
Ukiah, CA 95482-4568
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
Hospital & facility affiliations
- Adventist Health Ukiah Valley
- Adventist Health St Helena
- Adventist Health Howard Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A197853 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients |
Locations
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
260 Hospital Dr
Ste 103
Ukiah, CA 95482
Phone (707) 463-7490
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 6
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.
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-
- Physical Therapy Clinic/Center
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- NPI 1134092190
-
- Pulmonary Disease Physician
- Ukiah, CA
- NPI 1225593312
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Internal Medicine Physician
- Tulare, CA
- NPI 1255812889
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1275161887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 103",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-467-3123",
"fax_number": "707-462-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 103",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-467-3123",
"fax_number": "707-462-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "EVITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A197853",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A197853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.