Individual provider Active NPI

Evan Houck, D.O.

  • Emergency Medicine Physician
  • Colton, CA
National Provider Identifier
1467652834
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A9392 Issued in CA
Practice address
400 N Pepper Ave
Emergency Department
Colton, CA 92324-1801
Phone
(909) 580-1000
NPI assigned
Jul 23, 2007
Last updated
May 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A9392 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Emergency Department
Colton, CA 92324-1801

Mailing address

75 Crocus St
Redlands, CA 92373-4219
Phone (909) 798-7482

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090715000415 CA Practitioner - Family PracticePractitioner - Emergency Medicine 2365594710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Mid West Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians
Medamerica Physician Solutions PCGroup PAC ID 8729221809, 28 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

16 E Fern Ave
Suite B
Redlands, CA 92373-4000
Phone (909) 435-4852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9392CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - Auc PC CurrentSince May 18, 2016 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Brockton Podiatry Group a Prof Corp CurrentSince Sep 1, 2022 Accepting new patients
Medamerica Physician Solutions PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Cep America - Auc PC CurrentSince May 18, 2016 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
California Emergency Physician Medical Group Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 920
Emeryville, CA 94608
Phone (510) 350-2698

22855 Lake Forest Dr
Ste A
Lake Forest, CA 92630
Phone (949) 452-7544

23962 Alicia Pkwy
Ste I1
Mission Viejo, CA 92691
Phone (949) 297-0238

26137 La Paz Rd
Ste 120
Mission Viejo, CA 92691
Phone (949) 452-3309

26732 Crown Valley Pkwy
Ste 585
Mission Viejo, CA 92691
Phone (949) 645-3333

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

819 Salem Dr
Redlands, CA 92373
Phone (909) 793-1233

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: evan.houck.1@20515.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1467652834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CROCUS ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734219",
            "telephone_number": "909-798-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCK",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A9392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.