Pedro Eva

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A90222 Issued in CA

Practice address

147 N Brent St
Ventura, CA 93003-2809

Phone

(805) 948-5011

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• County of Mariposa

  • Mental Health Counselor
  • Mariposa, CA
  • NPI 1134268709

  CA

  Medicare reassignment NPD
• Gateways Hospital & Mental Health Center

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1720151137

  CA

  Medicare reassignment NPD
• Interim, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Monterey, CA
  • NPI 1407344641

  CA

  Medicare reassignment NPD
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Camarillo, CA
  • NPI 1104865518
  NPD
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD
• Interim, Inc.

  • Community/Behavioral Health Agency
  • Marina, CA
  • NPI 1083930788
  NPD
• Interim, Incorporated

  • Community/Behavioral Health Agency
  • Monterey, CA
  • NPI 1336327337
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1962444703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COLLEGE DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033405",
            "telephone_number": "808-372-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-948-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3855 N West Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937052759",
            "country_code": "US",
            "telephone_number": "559-476-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVA",
        "first_name": "PEDRO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD12757",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A90222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "56860201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX HAWAII",
            "identifier": "MD12757",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST HMSA",
            "identifier": "00A0252609",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH ALLIANC",
            "identifier": "143961",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "990298651-96706-E056",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "568602",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0252609",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayren Lara Estrada, LVN
• Noemy Estrada
• Sara Estrada, CAADE
• Sonia Lorraine Estrada, M.S.
• Kaitlin Etcheverry, MA
• Evans Electrodiagnostics, a Professional Corporation
• Brittany Marie Evans
• Jennifer Ballentine Evans, PT, DPT, WCS
• Kimberly Evans, MFT
• Matt Evans, PT. DPT

• All providers in Ventura, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.