Active NPI
Monica Evans
- Pharmacist
- San Diego, CA
National Provider Identifier
1295554442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59753
- Practice address
- 3030 Childrens Way Ste 108
San Diego, CA 92123-4226 - Phone
- (858) 966-4060
- Fax
- (858) 966-5995
- NPI assigned
- Oct 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59753 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way Ste 108
San Diego, CA 92123-4226
Mailing address
856 Shadow Ridge PL
Chula Vista, CA 91914-2513
Phone (619) 754-5386
Other names 1
- Monica Vidal Lopez
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728086400000",
"number": "1295554442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 SHADOW RIDGE PL",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919142513",
"telephone_number": "619-754-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY STE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234226",
"telephone_number": "858-966-4060",
"fax_number": "858-966-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-05",
"last_updated": "2024-10-05",
"certification_date": "2024-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "VIDAL LOPEZ",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.