Individual provider Active NPI

Tanya Y Evans, M.D.

  • Specialist
  • Laguna Niguel, CA
National Provider Identifier
1902908858
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A68285 Issued in CA
Practice address
27020 Alicia Pkwy
Suite G
Laguna Niguel, CA 92677-3420
Phone
(949) 707-5734
Fax
(949) 707-9724
NPI assigned
Sep 2, 2006
Last updated
Dec 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A68285 CA Primary

Addresses

Primary practice location

27020 Alicia Pkwy
Suite G
Laguna Niguel, CA 92677-3420

Mailing address

27020 Alicia Pkwy Ste G
Laguna Niguel, CA 92677-3420
Phone (949) 707-5734

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000764 CA Practitioner - Dermatology 4789589649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loma Linda University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27020 Alicia Pkwy
Suite G
Laguna Niguel, CA 92677-3420
Phone (949) 707-5734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions1302
Removal of skin cancer86
Removal of nail tissue1-10
Removal or shaving of skin growth33
Skin biopsy634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya Y. Evans, MD, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Mission Hospital, Inc. Past Accepting new patients
Southern California Skin and Laser Specialist PastSince Jan 1, 1990 Accepting new patients
So Cal Dental Partners Past Accepting new patients

Locations

27020 Alicia Pkwy
Ste G
Laguna Niguel, CA 92677
Phone (949) 349-1930

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1902908858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 ALICIA PKWY STE G",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773420",
            "telephone_number": "949-707-5734",
            "fax_number": "949-707-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27020 ALICIA PKWY",
            "address_2": "SUITE G",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773420",
            "telephone_number": "949-707-5734",
            "fax_number": "949-707-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TANYA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A68285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.