Evangelista Medical Group, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42221 Issued in AZ

Legal business name

EVANGELISTA MEDICAL GROUP, PC

Practice address

2435 S Ave a Ste a
Yuma, AZ 85364-7176

Phone

(928) 726-6772

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Adelbert D Evangelista, MDNPI 1629018619

Title

President

Phone

(928) 782-8056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJAIAA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adelbert Evangelista, MD

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1629018619
  Medicare reassignment Care Compare group Authorized official
• Jemylene Ronsayro Evangelista, M.D.

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1518142546
  Medicare reassignment Care Compare group NPD
• Mary Jacqueline Ronsayro

  • Family Nurse Practitioner
  • Chandler, AZ
  • NPI 1053930081
  Medicare reassignment Care Compare group NPD
• Sarah Deleon, FNP-BC-C

  • Family Nurse Practitioner
  • Yuma, AZ
  • NPI 1427681162
  Medicare reassignment NPD
• Amanda Graham, PA-C

  • Medical Physician Assistant
  • Yuma, AZ
  • NPI 1841488491
  Medicare reassignment

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1295968584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 S AVE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647175",
            "telephone_number": "928-726-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 S AVE A STE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647176",
            "telephone_number": "928-726-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELISTA MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "ADELBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-782-8056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Estrada, LCSW
• Kaylah Daniella Shanell Estrada
• Sol Alina Estrada I
• Eternity Home Health of Yuma LLC
• William Bruce Ethridge, MD
• Adelbert Evangelista, MD
• Jemylene Ronsayro Evangelista, M.D.
• Charles W Evans, FOSTER PARENT
• Devon Zenobia Evans, R.N.
• Joanne M. Evans, LCSW

• Family Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.