Active NPI
Evan Bogdan, MD
- Psychiatry Physician
- Compton, CA
National Provider Identifier
1285374702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A190606
- Practice address
- 921 E Compton Blvd
Compton, CA 90221-3303 - Phone
- (310) 668-6800
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | A190606 | CA | Primary |
Addresses
Primary practice location
921 E Compton Blvd
Compton, CA 90221-3303
Mailing address
11536 Clarkson Rd
Los Angeles, CA 90064-3814
Phone (832) 484-0573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1285374702 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1285374702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11536 CLARKSON RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643814",
"telephone_number": "832-484-0573",
"fax_number": "832-702-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213303",
"telephone_number": "310-668-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGDAN",
"first_name": "EVAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A190606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Compton, CA
- Thomas Chanthea Bill, DDS
- Bina, Korouri, Sage Dental Corporation (PHD Dental Group)
- Eric Michael Bingham, BA
- BKNC Pharmacies Inc (Compton Comm Pharmacy)
- Malcolm David Blanchard, M.D.
- Larry Bernard Boglin
- Shianne Tanisha Bonds
- Kimberly Riego Catbagan Bongcaron, LM,CPM
- Jeremiah Ray Boone
- Chastacey Bowers, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.