L.Evans MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A77877 Issued in CA

Legal business name

L.EVANS MD, INC

Doing business as

Salvia Canyon Primary Care, Inc.

Practice address

418 N Fair Oaks Ave
Suite 201
Pasadena, CA 91103-3659

Phone

(626) 605-3434

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laura Ellen Evans, M.D.NPI 1114075215

Title

Owner

Phone

(626) 354-7316

Specialties & licenses 1

Addresses

Other names 1

• Salvia Canyon Primary Care, Inc. Doing business as

Locations

Practitioners 1

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

• Laura Ellen Evans, M.D.

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1114075215
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760607410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 FOOTHILL BLVD",
            "address_2": "#115",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113518",
            "telephone_number": "626-354-7316",
            "fax_number": "626-744-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N FAIR OAKS AVE",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033659",
            "telephone_number": "626-605-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.EVANS MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-354-7316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salvia Canyon Primary Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.