Edgar Evangelista MD PC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

EDGAR EVANGELISTA MD PC

Doing business as

Nevada Neurologic Care

Practice address

2110 E Flamingo Rd Ste 201
Las Vegas, NV 89119-5192

Phone

(702) 800-7831

Fax

(877) 409-2014

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Edgar Jay B Evangelista, MDNPI 1669693081

Title

President

Phone

(702) 800-7831

Specialties & licenses 4

Addresses

Other names 1

• NEVADA NEUROLOGIC CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Edgar J Evangelista, MD

  • Clinical Neurophysiology Physician
  • Las Vegas, NV
  • NPI 1669693081
  Medicare reassignment Authorized official
• Siranush Khaladzhyan, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1427780030
  Medicare reassignment NPD

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1396028619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W HORIZON RIDGE PKWY # 566",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124422",
            "telephone_number": "702-800-7831",
            "fax_number": "877-409-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195192",
            "telephone_number": "702-800-7831",
            "fax_number": "877-409-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR EVANGELISTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JAY B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-800-7831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVADA NEUROLOGIC CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eden's Way, LLC
• Aleema Edens
• Norma Ramos Eder
• Natalya Edery
• Rebecca Edes
• Haleigh Edgar, MD
• Minija Edgar, PT, DPT
• Mariza Zobeida Edge
• Amy L Edgemon, CCC-SLP
• Indeaya Edgerson

• Clinical Neurophysiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Neurophysiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.