Organization Active NPI

Cardiology Associates of North Cty Inc

Doing business as Edward B Evans MD

  • Cardiovascular Disease Physician
  • Vista, CA
National Provider Identifier
1891860375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G43785 Issued in CA
Legal business name
CARDIOLOGY ASSOCIATES OF NORTH CTY INC
Doing business as
Edward B Evans MD
Practice address
161 Thunder Drive
#104
Vista, CA 92083-6051
Phone
(760) 941-6664
Fax
(760) 941-3257
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward Barton Evans, MD
Title
Owner
Phone
(760) 941-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X G43785 CA Primary

Addresses

Primary practice location

161 Thunder Drive
#104
Vista, CA 92083-6051

Mailing address

161 Thunder Drive
#104
Vista, CA 92083-6051
Phone (760) 941-6664

Other identifiers 2

IdentifierTypeStateIssuer
00G437850MedicaidCA
WG43785COtherCAMEDICAL

Other names 1

  • Edward B Evans MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891860375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 THUNDER DRIVE",
            "address_2": "#104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836051",
            "telephone_number": "760-941-6664",
            "fax_number": "760-941-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THUNDER DRIVE",
            "address_2": "#104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836051",
            "telephone_number": "760-941-6664",
            "fax_number": "760-941-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES OF NORTH CTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-941-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G43785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G437850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "WG43785C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward B Evans MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.