Evelyn Magana

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Adelanto, CA

NPI 1821672247 · NPPES record last updated Apr 14, 2024

Key facts

NPI
1821672247
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
11424 Chamberlaine Way Ste 11-12
Adelanto, CA 92301-2869
Phone
(760) 246-0934
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of San Bernardino Past
since May 16, 2021
Accepting new patients
Citrus Counseling Services, Inc Past
since Feb 1, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

11424 Chamberlaine Way Ste 11-12
Adelanto, CA 92301-2869

Mailing address

17240 Olive St # 440
Hesperia, CA 92345-6099

Other practice location 1

1669 N E St
San Bernardino, CA 92405-4498
Phone (909) 886-6737

Other providers in Adelanto, CA

All providers in Adelanto, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.