Hazel Abalos Evalle, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95000589 Issued in CA

Practice address

1567 Reef
West Covina, CA 91790

Phone

(909) 740-4386

NPI assigned

Mar 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Pacific Hospitalists, Inc

  dba Alliance Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Huntington Park, CA
  • NPI 1760626758
  Medicare reassignment NPD
• New World Multispecialty Medical Group, Inc.

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1265656904
  Medicare reassignment

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1992123806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 REEF",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903390",
            "telephone_number": "909-740-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 REEF",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "909-740-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVALLE",
        "first_name": "HAZEL",
        "middle_name": "ABALOS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Estrada
• Eternal Hospice Care Inc. (Tranquil Oaks Hospice Care)
• Eternally Yours Hospice, Inc.
• Ethos Health Care Services, Inc.
• Ethos Hospice Care
• Dominique Evans
• Evelyn a Ortega MD Inc
• Evolution Consulting Inc.
• Moses Ewo
• Excel Imaging Center West Covina Inc.

• Family Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.