Evexia Health Services, LLC.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

EVEXIA HEALTH SERVICES, LLC.

Practice address

109 E 11TH St
Corona, CA 92879-2157

Phone

(951) 391-1470

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Lo

Title

Coo

Phone

(951) 391-1470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Opioid treatment program

Medicare-enrolled since Nov 1, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Evexia Health Services, LLC

  • Methadone Clinic
  • Moreno Valley, CA
  • NPI 1760256069

  O20200120000790

  Same enrollment
• Evexia Health Services, LLC.

  • Methadone Clinic
  • Hemet, CA
  • NPI 1851800197

  O20200120000790

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Vijaya K. Katukota, M.D.

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1225218522
  NPD (past)
• Valerie Vasquez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hemet, CA
  • NPI 1548438989
  NPD (past)
• Tommy Zaharakis, MD

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1366426579
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1720545742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 11TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 11TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792157",
            "telephone_number": "951-391-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEXIA HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-391-1470"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Eubanks, M.F.T
• Jenna Lalas Eugenio, P.A.
• Elizabeth Evans, L.V.N.
• Tommie Lou L Evans, N.P.
• Evergreen Senior Home Care at Corona LLC
• Evolve Wellness, Inc
• George Eways
• Eyeconic Optometry Inc.
• Ez Medical Transportation
• Latanya Ezeala

• Methadone Clinic in Corona, CA
• Providers in Corona, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.