Avalon Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

AVALON PEDIATRICS, INC.

Practice address

911 Oak Park Blvd Ste 107
Pismo Beach, CA 93449-3406

Phone

(805) 474-8700

Fax

(805) 474-8466

NPI assigned

Feb 8, 2012

Last updated

Jun 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert S. Evans, M.D.NPI 1184603441

Title

Ceo

Phone

(805) 474-8700

Specialties & licenses 1

Addresses

Other names 1

• Amy E. Webb, M.D. Pediatrics, Inc. Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Stephen Evans, MD

  • Internal Medicine Physician
  • Yucca Valley, CA
  • NPI 1184603441
  NPD (past) Authorized official
• Amy E. Webb, M.D.

  • Pediatrics Physician
  • Pismo Beach, CA
  • NPI 1275538605
  NPD
• Jacob Eapen, MD

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1104888072
  NPD (past)
• Jonathan Lester Finlay, MD

  • Pediatrics Physician
  • Pismo Beach, CA
  • NPI 1427196757
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1386916138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD STE 107",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493406",
            "telephone_number": "805-474-8700",
            "fax_number": "805-474-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD STE 107",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493406",
            "telephone_number": "805-474-8700",
            "fax_number": "805-474-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-474-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy E. Webb, M.D. Pediatrics, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Domenick Barbo, LAC
• Charles Alden Barstow Jr., MPT,OCS, COMT, CSCS
• Jo Bcharvey, CRNA
• Lindsay May Beck, AMFT, APCC

• Pediatrics Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.