Individual provider Active NPI

Evangeline Balila Cole, FNP-C

  • Family Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1821786955
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024888 Issued in CA
Practice address
1351 Broadway
El Cajon, CA 92021-5811
Phone
(619) 383-6703
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024888 CA Primary

Addresses

Primary practice location

1351 Broadway
El Cajon, CA 92021-5811

Mailing address

1351 Broadway
El Cajon, CA 92021-5811
Phone (619) 383-6703

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319002773 CA Practitioner - Nurse Practitioner 5395182950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
National Medical University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Farschad Birdjandi MD IncGroup PAC ID 1052655628, 9 clinicians

Practice addresses (Care Compare)

4033 6TH Ave
San Diego, CA 92103-2202
Phone (619) 297-4086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farschad Birdjandi MD Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

4033 6th Ave
San Diego, CA 92103
Phone (619) 287-3270

Organizations & group practices 1

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1821786955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "EVANGELINE",
        "middle_name": "BALILA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.