E & P Evangelista and Associates

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

E & P EVANGELISTA AND ASSOCIATES

Doing business as

PHILIPS HOME ICF DDH

Practice address

653 Commercial Ave
South San Francisco, CA 94080-3423

Phone

(415) 987-3401

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Estelita Evangelista, RN

Title

Administrator

Phone

(415) 987-3401

Specialties & licenses 1

Addresses

Other names 1

• PHILIPS HOME ICF DDH Doing business as

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1790991560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 COMMERCIAL AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803423",
            "telephone_number": "415-987-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 COMMERCIAL AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803423",
            "telephone_number": "415-987-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & P EVANGELISTA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "ESTELITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-987-3401",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILIPS HOME ICF DDH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Ronall Dunn
• Jakob Dupont, MD
• Prasanna Sujaritha Durairaj, D.O
• Genevieve Gertrude Dy, NP
• Ross A. Dykstra, MD
• Early Horizon Home Care
• Early Horizon Home Care/Generations Care Home II
• Laura Echeverria
• Ecmo PRN LLC
• Ellen Edelman, LMFT

• Intellectual Disabilities Intermediate Care Facility in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.