Evolve Concierge

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EVOLVE CONCIERGE

Practice address

18356 Clark St Ste 101
Tarzana, CA 91356-3502

Phone

(818) 978-7888

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Shahryar Yadegar, MDNPI 1174546493

Title

Ceo

Phone

(323) 363-6910

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: shahryaryadgar@direct.practicefusion.com
• FHIR API: https://api.platform.athenahealth.com/25369/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahryar Yadegar, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1174546493
  Medicare reassignment NPD Authorized official
• Shahin Delkhah, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1265477749
  Medicare reassignment NPD

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1578225140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD STE 245",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566403",
            "telephone_number": "818-609-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18356 CLARK ST STE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-978-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "YADEGAR",
        "authorized_official_first_name": "SHAHRYAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-363-6910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA SECRETARY OF STATE",
            "identifier": "C4788092",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shahryaryadgar@direct.practicefusion.com",
            "affiliation": "Y",
            "affiliationName": "PULMONARY PROFESSIONALS A MEDICAL CORPORATION",
            "address_1": "18399 Ventura Blvd Ste 245",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913566403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Essential Home Health Care Corp.
• Margery Estes, LICENSE VOCATIONAL N
• Kaitlin Gage Evans
• Richard Allen Evans, RADT I
• Everest Hospice Inc
• Evolve Growth Initiatives LLC
• Evolve Growth Initiatives LLC
• Executive Recovery Group, Inc
• Executive Recovery Group, Inc
• Express Reliable Diagnostic Inc

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.