Active NPI
Sharon Adell Evanoff-Eastman
- Case Manager/Care Coordinator
- Rosamond, CA
National Provider Identifier
1689797052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2689 Sierra Highway
Box 1359
Rosamond, CA 93560 - Phone
- (661) 256-7208
- Fax
- (661) 256-7209
- NPI assigned
- Apr 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
2689 Sierra Highway
Box 1359
Rosamond, CA 93560
Mailing address
3105 E Avenue H6
Lancaster, CA 93535-1613
Phone (661) 618-6342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689797052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 E AVENUE H6",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935351613",
"telephone_number": "661-618-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2689 SIERRA HIGHWAY",
"address_2": "BOX 1359",
"city": "ROSAMOND",
"state": "CA",
"postal_code": "93560",
"telephone_number": "661-256-7208",
"fax_number": "661-256-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANOFF-EASTMAN",
"first_name": "SHARON",
"middle_name": "ADELL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosamond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.