Individual provider Active NPI

Evelyne N. Llorente, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1306926423
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G63738 Issued in CA
Practice address
16152 Beach Blvd Ste 173
Huntington Beach, CA 92647-3862
Phone
(714) 885-8980
Fax
(888) 988-5872
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G63738 CA Primary

Addresses

Primary practice location

16152 Beach Blvd Ste 173
Huntington Beach, CA 92647-3862

Mailing address

16152 Beach Blvd Ste 173
Huntington Beach, CA 92647-3862
Phone (714) 885-8980

Other identifiers 1

IdentifierTypeStateIssuer
G63738OtherCAMEDICAL LICENSE NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000911 CA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pain ManagementPractitioner - Geriatric Medicine 0840223723 Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Geriatric Medicine, Pain Management
Education
University of Miami, LM Miller School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11180 Warner Ave
Suite 257
Fountain Valley, CA 92708-7516
Phone (714) 885-8980

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100Reported as individual
Quality
91.5
Improvement activities
40
Cost
73.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63738CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Memorial Hospital Presbyterian PastSince Apr 24, 2022 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306926423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD STE 173",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473862",
            "telephone_number": "714-885-8980",
            "fax_number": "888-988-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16152 BEACH BLVD STE 173",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473862",
            "telephone_number": "714-885-8980",
            "fax_number": "888-988-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLORENTE",
        "first_name": "EVELYNE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "G63738",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.