Active NPI
Gregory R D Evans, MD
- Plastic Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 000000G57437
- Practice address
- Uci Medical Center
101 The City Drive South
Orange, CA 92868 - Phone
- (714) 456-8978
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 000000G57437 | CA | Primary |
Addresses
Primary practice location
Uci Medical Center
101 The City Drive South
Orange, CA 92868
Mailing address
Plastic Surgery Division - Uci
PO Box 515072
Los Angeles, CA 90051-5072
Phone (714) 456-6369
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Southern California Keck School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000G57437 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Plastic Surgery | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Past | Accepting new patients |
Locations
1640 Newport Blvd
Ste 240
Costa Mesa, CA 92627
Phone (949) 999-2411
23961 Calle de la Magdalena
Ste 4
Laguna Hills, CA 92653
2161 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 386-5700
101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 650
Orange, CA 92868
Phone (714) 456-3077
18637 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 777-7389
Organizations & group practices 4
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.
-
- Plastic Surgery Physician
- Orange, CA
- NPI 1336171818
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1962582007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PLASTIC SURGERY DIVISION - UCI",
"address_2": "PO BOX 515072",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900515072",
"telephone_number": "714-456-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCI MEDICAL CENTER",
"address_2": "101 THE CITY DRIVE SOUTH",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-456-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "GREGORY R D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "000000G57437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.