Active NPI
Evolve Surgical Group
- Plastic and Reconstructive Surgery Physician
- Murrieta, CA
National Provider Identifier
1316895311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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 DirectoryLocations
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.