Organization Active NPI

Evolve Surgical Group

  • Plastic and Reconstructive Surgery Physician
  • Murrieta, CA
National Provider Identifier
1316895311
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
EVOLVE SURGICAL GROUP
Practice address
39525 Los Alamos Rd Ste C191
Murrieta, CA 92563-5082
Phone
(323) 445-2803
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Jean Elize
Title
Owner
Phone
(323) 445-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

39525 Los Alamos Rd Ste C191
Murrieta, CA 92563-5082

Mailing address

39525 Los Alamos Rd Ste C191
Murrieta, CA 92563-5082
Phone (323) 445-2803

National Provider Directory

National Provider Directory

Locations

39525 Los Alamos Rd
Ste C191
Murrieta, CA 92563
Phone (323) 445-2803

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1316895311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39525 LOS ALAMOS RD STE C191",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635082",
            "telephone_number": "323-445-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 LOS ALAMOS RD STE C191",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635082",
            "telephone_number": "323-445-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "ELIZE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-445-2803"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.