J Robert Evans MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

J ROBERT EVANS MD PC

Practice address

355 E 21St St Ste H
San Bernardino, CA 92404-4851

Phone

(909) 886-2609

NPI assigned

Feb 14, 2019

Last updated

Feb 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J Robert Evans, MD

Title

Owner

Phone

(909) 793-5511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Ruth Bradford-Lewis, FNP

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1205958840
  Medicare reassignment
• John Robert Evans, MD

  • Gastroenterology Physician
  • San Bernardino, CA
  • NPI 1245253582
  Medicare reassignment

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1568928588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SUMMIT AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736852",
            "telephone_number": "909-793-5511",
            "fax_number": "909-792-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST STE H",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044851",
            "telephone_number": "909-886-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ROBERT EVANS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-793-5511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Rocio Itosu, AMFT
• Mercedes G Itriago, PSYD
• Artisha Nicole Ivey
• Sreesh Gopal Iyengar, MD
• Kristen Izbicki
• Karam Talal Gebraiel Jabri
• Jackson and Moore Professional Corporation (Hub Plaza Dental Group)
• Alea N Jackson, LMFT
• Alycia Jackson
• Amari Jackson

• Gastroenterology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.