Individual provider Active NPI

Adam Rees Evans

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346669009
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A140591 Issued in CA
Practice address
UCLA Emergency Medicine 924 Westwood Blvd
Suite 300
Los Angeles, CA 90095-0001
Phone
(310) 794-0585
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A140591 CA Primary

Addresses

Primary practice location

UCLA Emergency Medicine 924 Westwood Blvd
Suite 300
Los Angeles, CA 90095-0001

Mailing address

UCLA Emergency Medicine 924 Westwood Blvd
Suite 300
Los Angeles, CA 90095-0001
Phone (310) 794-0585

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180226001612 CA Practitioner - Emergency Medicine 9335400852 Reassigns benefits to 6 organizations
I20200707000322 TX Practitioner - Emergency Medicine 9335400852 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 15, 2020 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 31, 2018 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 15, 2020 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Aug 15, 2018 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Jan 19, 2020 Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jan 31, 2018 Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2018 Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1346669009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA EMERGENCY MEDICINE 924 WESTWOOD BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-794-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA EMERGENCY MEDICINE 924 WESTWOOD BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-794-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ADAM",
        "middle_name": "REES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A140591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.