Individual provider Active NPI

Evan Joshua Trager, MD

  • Child & Adolescent Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1821484718
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A145885 Issued in CA
Practice address
1175 Saratoga Ave Ste 14
San Jose, CA 95129-3427
Phone
(408) 996-7950
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X A145885 CA Primary

Addresses

Primary practice location

1175 Saratoga Ave Ste 14
San Jose, CA 95129-3427

Mailing address

314 Torino Dr
San Carlos, CA 94070-2819
Phone (609) 553-6237

Other practice location 1

9990 County Farm Rd
Suite #3
Riverside, CA 92503-3542
Phone (951) 289-0116

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515004403 CA Practitioner - Psychiatry 3678914017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

2060 Fairmont Dr
Castro Valley, CA 94578-1001
Phone (510) 346-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145885CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jul 31, 2024 Accepting new patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Jul 31, 2024 Accepting new patients
Rockridge Child Psych CurrentSince Mar 24, 2024 Accepting new patients
Hiawatha Harris, Corporation CurrentSince Apr 16, 2024 Accepting new patients
Hiawatha Harris, M.D., Inc. CurrentSince Apr 16, 2024 Accepting new patients
Bay Children'S Services Child & Adolescent Psychiatry PastSince May 7, 2024 Accepting new patients

Locations

3030 Ashby Ave
Ste 104
Berkeley, CA 94705
Phone (510) 224-4221

2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1700 Broadway
#500
Oakland, CA 94612
Phone (510) 273-4200

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

Interoperability endpoints

  • Direct secure messaging: etrager132469@alamedahs.direct-ci.com

Organizations & group practices 7

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1821484718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 TORINO DR",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702819",
            "telephone_number": "609-553-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 SARATOGA AVE STE 14",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293427",
            "telephone_number": "408-996-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9990 County Farm Rd",
            "address_2": "Suite #3",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033542",
            "country_code": "US",
            "telephone_number": "951-289-0116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAGER",
        "first_name": "EVAN",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A145885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.