Active NPI
Edward Barton Evans, M.D.
- Cardiovascular Disease Physician
- Vista, CA
National Provider Identifier
1437293446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G43785
- Practice address
- 161 Thunder Dr
Suite 104
Vista, CA 92083-6016 - Phone
- (760) 941-6664
- Fax
- (760) 941-3257
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G43785 | CA | Primary |
Addresses
Primary practice location
161 Thunder Dr
Suite 104
Vista, CA 92083-6016
Mailing address
161 Thunder Dr
Suite 104
Vista, CA 92083-6016
Phone (760) 941-6664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G437850 | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43785 | CA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437293446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 THUNDER DR",
"address_2": "SUITE 104",
"city": "VISTA",
"state": "CA",
"postal_code": "920836016",
"telephone_number": "760-941-6664",
"fax_number": "760-941-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 THUNDER DR",
"address_2": "SUITE 104",
"city": "VISTA",
"state": "CA",
"postal_code": "920836016",
"telephone_number": "760-941-6664",
"fax_number": "760-941-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "EDWARD",
"middle_name": "BARTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G43785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G437850",
"state": "CA"
}
],
"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 8, 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.