Evans Electrodiagnostics, a Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVANS ELECTRODIAGNOSTICS, A PROFESSIONAL CORPORATION

Practice address

1889 Knoll Dr
Ventura, CA 93003-7348

Phone

(805) 644-1591

Fax

(805) 644-1593

NPI assigned

Mar 27, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Evans, DPT

Title

President

Phone

(805) 644-1591

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matt Evans, PT. DPT

  • Orthopedic Physical Therapist
  • Ventura, CA
  • NPI 1962648428
  NPD

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1699352385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037348",
            "telephone_number": "805-644-1591",
            "fax_number": "805-644-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 KNOLL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037348",
            "telephone_number": "805-644-1591",
            "fax_number": "805-644-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ELECTRODIAGNOSTICS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-644-1591",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemy Estrada
• Sara Estrada, CAADE
• Sonia Lorraine Estrada, M.S.
• Kaitlin Etcheverry, MA
• Pedro Eva
• Brittany Marie Evans
• Jennifer Ballentine Evans, PT, DPT, WCS
• Kimberly Evans, MFT
• Matt Evans, PT. DPT
• Evolve Growth Initiatives, LLC

• All providers in Ventura, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.