Individual provider Active NPI

Evan Dean Lambert, D.C

  • Sports Physician Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1710057690
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC25345 Issued in CA
Practice address
23502 Lyons Ave
Suite 202a
Santa Clarita, CA 91321-2535
Phone
(661) 260-0873
Fax
(661) 260-1629
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC25345 CA Primary

Addresses

Primary practice location

23502 Lyons Ave
Suite 202a
Santa Clarita, CA 91321-2535

Mailing address

5000 Van Nuys Blvd
Ste 110
Sherman Oaks, CA 91403-1717
Phone (661) 260-0873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000222 CA Practitioner - Chiropractic 0749385268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25345CAMDAddiction (Substance Use Disorder) Counselor
DC25345CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Physical Therapy Inc CurrentSince Dec 19, 2006 Accepting new patients

Locations

23502 Lyons Ave
Ste 202A
Santa Clarita, CA 91321
Phone (661) 222-9030

5000 Van Nuys Blvd
Ste 110
Sherman Oaks, CA 91403
Phone (818) 341-7243

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1710057690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD",
            "address_2": "STE 110",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031717",
            "telephone_number": "661-260-0873",
            "fax_number": "661-260-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23502 LYONS AVE",
            "address_2": "SUITE 202A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212535",
            "telephone_number": "661-260-0873",
            "fax_number": "661-260-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "EVAN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC25345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.