Evan Scott Collier, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A91245 Issued in CA

Practice address

500 San Pablo Ave
Suite 300
Albany, CA 94706-1127

Phone

(510) 204-8130

NPI assigned

Feb 21, 2007

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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 1

Specialty

Family PracticeAlso: General Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ravi Panjabi, IncGroup PAC ID 4183689680, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

Merit-based Incentive Payment System (MIPS)

Final score

19.94 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

66.46

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ravi Panjabi Inc

  dba Advanced Pain Management & Rehab Medical Group, Inc.

  • Medical Physician Assistant
  • Castro Valley, CA
  • NPI 1669553970
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Bay Hospitals

  dba Eden Medical Center

  • General Acute Care Hospital
  • Castro Valley, CA
  • NPI 1063812907
  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1386779510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MAYWOOD LN",
            "address_2": "APT. #815",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536591",
            "telephone_number": "925-372-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAN PABLO AVE",
            "address_2": "SUITE 300",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061127",
            "telephone_number": "510-204-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "EVAN",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina Clark-Derman, FNP
• Andrea Clark, PT
• Betsy Cohen, L.C.S.W.
• George David Cohen, LCSW
• Stefan B. Cohen, D.C.
• Andrew Condey, PH.D.
• Kristen Blythe Conner, L.AC., C.M.T.
• Shawn Corne, PHD
• Frank Cortese, DDS
• Joseph Lloyd Cortese, DDS

• Family Medicine Physician in Albany, CA
• Providers in Albany, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.