Pearl Evelo, R.T. (MR)(ARRT)

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1070374 Issued in CA

Practice address

24331 El Toro Rd
Laguna Woods, CA 92637-2752

Phone

(949) 586-3200

NPI assigned

Jul 11, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1346087962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 RED HILL AVE APT 45",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805855",
            "telephone_number": "714-310-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "949-586-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELO",
        "first_name": "PEARL",
        "credential": "R.T. (MR)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "1070374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ai Diep
• Drugxperts Pharmacy Laguna Woods Inc
• Kien-an Duong, MD
• William Nguyen Duong, PHARMD
• Naidia Estes
• Eyedoctor Optometry Laguna Woods Inc (eyeDoctors Optometry)
• Nazee Farsi, MD
• Lauren Ferrer
• Yuliya Filipenka, DDS
• Janelle Gerette Freshman, DPT, CHT

• Diagnostic Radiology Physician in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.