Individual provider Active NPI

Evalin Zhao, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1518537950
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34817 Issued in CA
Practice address
1701 Stine Rd
Bakersfield, CA 93309-4827
Phone
(661) 459-1900
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1942-878AT LA
Optometrist 152W00000X OPT34817 CA Primary

Addresses

Primary practice location

1701 Stine Rd
Bakersfield, CA 93309-4827

Mailing address

1191 E 9TH St
Pomona, CA 91766-6901
Phone (909) 539-5712

Other practice location 1

1020 Nevada St
Ste 202
Redlands, CA 92374-2956
Phone (909) 793-2106

Other practice location 2

3200 Severn Ave
Metairie, LA 70002-4793
Phone (504) 887-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210831001720 LA Practitioner - Optometry 4183020134 Reassigns benefits to 2 organizations
I20221201001975 CA Practitioner - Optometry 4183020134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT34817CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Oct 17, 2022 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Redlands Optometry Group Inc a Professional Optometric Corporation Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Omni Family Health CurrentSince Dec 5, 2022 Accepting new patients
Louisiana Family Eyecare, LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Omni Family Health Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 17, 2022 Accepting new patients
Omni Family Health CurrentSince Dec 5, 2022 Accepting new patients

Locations

6700 Niles St
Ste 185
Bakersfield, CA 93306

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

1020 Nevada St
Ste 202
Redlands, CA 92374
Phone (909) 793-2106

925 G St
Reedley, CA 93654
Phone (559) 558-9712

107 Terra Bella Blvd
Covington, LA 70433
Phone (985) 875-7898

1431 Ochsner Blvd
Ste A
Covington, LA 70433
Phone (985) 302-5225

3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025

837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: evalin.zhao.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1518537950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 E 9TH ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917666901",
            "telephone_number": "909-539-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094827",
            "telephone_number": "661-459-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Nevada St",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742956",
            "country_code": "US",
            "telephone_number": "909-793-2106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Severn Ave",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700024793",
            "country_code": "US",
            "telephone_number": "504-887-2020",
            "fax_number": "504-887-7698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "EVALIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-11-21",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1942-878AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.