Active NPI
James Leonard Evans, MATCM
- Acupuncturist
- Santa Monica, CA
National Provider Identifier
1962607168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11110
- Practice address
- 1131 Wilshire Blvd
Suite 300
Santa Monica, CA 90401-2061 - Phone
- (310) 917-2200
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11110 | CA | Primary |
Addresses
Primary practice location
1131 Wilshire Blvd
Suite 300
Santa Monica, CA 90401-2061
Mailing address
4363 Coolidge Ave
Apt # 5
Los Angeles, CA 90066-5928
Phone (310) 391-1562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11110 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962607168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4363 COOLIDGE AVE",
"address_2": "APT # 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665928",
"telephone_number": "310-391-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 WILSHIRE BLVD",
"address_2": "SUITE 300",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012061",
"telephone_number": "310-917-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JAMES",
"middle_name": "LEONARD",
"name_prefix": "Mr.",
"credential": "MATCM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.