Active NPI
David Gary Evans, M.D.
- Nuclear Medicine Physician
- Vista, CA
National Provider Identifier
1407952427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- G55686
- Practice address
- 410 S Melrose Dr
Suite 104
Vista, CA 92081-6642 - Phone
- (760) 806-4355
- Fax
- (760) 806-4363
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | G55686 | CA | Primary |
Addresses
Primary practice location
410 S Melrose Dr
Suite 104
Vista, CA 92081-6642
Mailing address
1777 Kings Rd
Vista, CA 92084-3640
Phone (760) 500-1651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Radiology Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular & Interventional Radiology Physician
- Oceanside, CA
- NPI 1740360551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407952427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 KINGS RD",
"city": "VISTA",
"state": "CA",
"postal_code": "920843640",
"telephone_number": "760-500-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S MELROSE DR",
"address_2": "SUITE 104",
"city": "VISTA",
"state": "CA",
"postal_code": "920816642",
"telephone_number": "760-806-4355",
"fax_number": "760-806-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DAVID",
"middle_name": "GARY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "G55686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.