Individual provider Active NPI

Evan Edward Vellios, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Van Nuys, CA
National Provider Identifier
1609294479
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A139555 Issued in CA
Practice address
6815 Noble Ave
Van Nuys, CA 91405-3796
Phone
(818) 901-6600
Fax
(818) 909-3942
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A139555 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A139555 CA Primary

Addresses

Primary practice location

6815 Noble Ave
Van Nuys, CA 91405-3796

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

19950 Rinaldi St Unit 100
Porter Ranch, CA 91326-4141
Phone (818) 363-2273

Other practice location 2

24051 Newhall Ranch Rd Bldg C
Valencia, CA 91355-5702
Phone (661) 254-6364

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
I20200716001249 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7214289883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 0547490534, 135 clinicians

Practice addresses (Care Compare)

100 UCLA Medical PLZ
Suite 460
Los Angeles, CA 90024-7000
Phone (310) 443-8999

19950 Rinaldi St
Suite 100
Northridge, CA 91326-4141
Phone (818) 363-2773

24051 Newhall Ranch Rd
BLDG C
Valencia, CA 91355-5702
Phone (661) 254-6364

2625 W Alameda Ave
Suite 116
Burbank, CA 91505-4815
Phone (818) 901-6600

Hospital & facility affiliations

  • Speedy Care Home Health Inc Home health agency, Van Nuys, CA, CCN 757230
  • True Hands Home Health Inc Home health agency, Woodland Hills, CA, CCN 757661
  • A1 Unlimited Home Health Care, Inc Home health agency, Burbank, CA, CCN 059402
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
81.42 of 100Reported as group
Quality
68.57
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)29
Upper limb (arm) arthroscopy (minimally invasive joint repair)74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139555CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Sep 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2020 Accepting new patients
UCLA Medical Group Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

5201 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-5565

2625 W Alameda Ave
Ste 116
Burbank, CA 91505
Phone (818) 579-2370

100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

19950 Rinaldi St
Ste 100
Porter Ranch, CA 91326
Phone (818) 363-2273

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550

24051 Newhall Ranch Rd
Bldg C
Valencia, CA 91355
Phone (661) 254-6364

24051 Newhall Ranch Rd
Valencia, CA 91355
Phone (661) 254-6364

6815 Noble Ave
Van Nuys, CA 91405
Phone (818) 901-6690

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1609294479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053796",
            "telephone_number": "818-901-6600",
            "fax_number": "818-909-3942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19950 Rinaldi St Unit 100",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913264141",
            "country_code": "US",
            "telephone_number": "818-363-2273",
            "fax_number": "818-909-3942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24051 Newhall Ranch Rd Bldg C",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555702",
            "country_code": "US",
            "telephone_number": "661-254-6364",
            "fax_number": "818-909-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELLIOS",
        "first_name": "EVAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A139555",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A139555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.