Active NPI
Evan Joshua Trager, MD
- Child & Adolescent Psychiatry Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A145885
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A145885 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Rockridge Child Psych | Current | Accepting new patients | |
| Hiawatha Harris, Corporation | Current | Accepting new patients | |
| Hiawatha Harris, M.D., Inc. | Current | Accepting new patients | |
| Bay Children'S Services | Child & Adolescent Psychiatry | Past | 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
- 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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Mental Health Counselor
- Oakland, CA
- NPI 1942420724
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1487414512
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1023219821
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Clinical Child & Adolescent Psychologist
- Martinez, CA
- NPI 1407063936
-
- Child & Adolescent Psychiatry Physician
- Berkeley, CA
- NPI 1003095563
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.