Active NPI
James Daniel Evans, M.D.
- Pediatrics Physician
- Orinda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A79671
- Practice address
- 3 Altarinda Rd Ste 300
Orinda, CA 94563-2601 - Phone
- (925) 385-0928
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A79671 | CA | Primary |
Addresses
Primary practice location
3 Altarinda Rd Ste 300
Orinda, CA 94563-2601
Mailing address
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597-2168
Other practice location 1
4 Country Club Plz
Orinda, CA 94563-2308
Phone (925) 254-9500
Organizations & group practices 3
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.
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000695 | CA | Practitioner - Pediatric Medicine | 6507828431 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79671 | CA | MD | Pharmacist |
| A79671 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
3 Altarinda Rd
Ste 300
Orinda, CA 94563
Phone (925) 254-9500
4 Country Club Plz
Orinda, CA 94563
Phone (925) 254-9500
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
Interoperability endpoints
- jevans12466@ehr.johnmuirhealth.com
- jevans160234@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972546166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD",
"address_2": "STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ALTARINDA RD STE 300",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632601",
"telephone_number": "925-385-0928"
}
],
"practiceLocations": [
{
"address_1": "4 Country Club Plz",
"address_purpose": "LOCATION",
"city": "Orinda",
"state": "CA",
"postal_code": "945632308",
"country_code": "US",
"telephone_number": "925-254-9500",
"fax_number": "925-254-9505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JAMES",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A79671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.