The Evolve Effect

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

THE EVOLVE EFFECT

Doing business as

The Evolve Effect Cranial Prosthesis

Practice address

920 N Central Ave
Upland, CA 91786-3530

Phone

(909) 906-6774

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Mattie Jones-Gill

Title

Cfo

Phone

(909) 906-6774

Specialties & licenses 1

Addresses

Other names 1

• The Evolve Effect Cranial Prosthesis Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lampkin

  • Orthotist
  • Ontario, CA
  • NPI 1235709007
  NPD

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1346969318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S CLAREMONT DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612641",
            "telephone_number": "909-906-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N CENTRAL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863530",
            "telephone_number": "909-906-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVOLVE EFFECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "JONES-GILL",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-906-6774"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Evolve Effect Cranial Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetist in Upland, CA
• Providers in Upland, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.