Individual provider Active NPI

Evalis Peters

  • Physician Assistant
  • Oxnard, CA
National Provider Identifier
1669155024
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1751 Lombard St # a
Oxnard, CA 93030-8266
Phone
(805) 981-9111
Fax
(833) 916-2152
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

1751 Lombard St # a
Oxnard, CA 93030-8266

Mailing address

3308 Dunkirk Dr
Oxnard, CA 93035-1288

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416000150 CA Practitioner - Physician Assistant 9133695299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

1901 Outlet Ctr Dr
Suite 200
Oxnard, CA 93036-0666
Phone (805) 981-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

1901 Outlet Center Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-8300

1751 Lombard St
#A
Oxnard, CA 93030
Phone (805) 981-2289

Organizations & group practices 1

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1669155024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 DUNKIRK DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930351288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 LOMBARD ST # A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308266",
            "telephone_number": "805-981-9111",
            "fax_number": "833-916-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "EVALIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.