Active NPI
Evan Walgama, M.D.
- Otolaryngology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A136819
- Practice address
- 8635 W 3Rd St Ste 590W
Los Angeles, CA 90048-6163 - Phone
- (310) 423-1220
- NPI assigned
- May 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | A136819 | CA | |
| Otolaryngology Physician | 207Y00000X | A136819 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 590W
Los Angeles, CA 90048-6163
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone (910) 829-8701
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ewalgama1747626@oc.providencedirect.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Southwestern Medical School at Dallas, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
Hospital & facility affiliations
- Cedars-Sinai Medical Center
- Cedar-Sinai Marina del Rey Hospital
- Torrance Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136819 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Ut MD Anderson Cancer Center | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients |
Locations
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450
2125 Arizona Ave
Fl 1
Santa Monica, CA 90404
Phone (310) 829-8701
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ewalgama209126@direct.cshs.org
Organizations & group practices 10
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Family Medicine Physician
- Santa Monica, CA
- NPI 1518438712
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1952521189
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1750609285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 590W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486163",
"telephone_number": "310-423-1220"
}
],
"practiceLocations": [
{
"address_1": "2125 Arizona Ave",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041337",
"country_code": "US",
"telephone_number": "910-829-8701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALGAMA",
"first_name": "EVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CA",
"license": "A136819",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A136819",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ewalgama1747626@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2125 Arizona Ave Fl 1",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904041337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.