Evalina Josefsson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

101195 Issued in CA

Practice address

5400 Balboa Blvd Ste 308
Encino, CA 91316-5221

Phone

(818) 788-8840

NPI assigned

May 2, 2017

Last updated

Mar 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653
  Medicare reassignment NPD
• Evalina Josefsson Dental Group

  • Pediatric Dentistry
  • Encino, CA
  • NPI 1417658337
  NPD Authorized official
• Evalina Josefsson,DDS, Professional Corporation

  • Pediatric Dentistry
  • Temple City, CA
  • NPI 1831052273
  NPD Authorized official
• Gerald M. Kirshbaum, DDS, Inc.

  • Pediatric Dentistry
  • Encino, CA
  • NPI 1679794028
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1861928426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 308",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165221",
            "telephone_number": "818-788-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 308",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165221",
            "telephone_number": "818-788-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 W Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276062",
            "country_code": "US",
            "telephone_number": "323-660-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEFSSON",
        "first_name": "EVALINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101195",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicity Nicole Jones
• Jacqualyn Jones
• Kathleen Jones, MFT
• Morrell Efrim Jones
• Litha Rose Jose
• Joseph & Nace Optometric Corporation
• Joseph Hadi MD PC (California Pain & Regenerative Medicine Institute)
• Barbara A Joseph, MFT
• John H. Joseph, M.D.
• Shawn M Joseph

• Pediatric Dentistry in Encino, CA
• Providers in Encino, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.