Active NPI
Evelyn Abiue Ely, MD
- Hospitalist Physician
- Costa Mesa, CA
National Provider Identifier
1992701338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A46639
- Practice address
- 1665 Scenic Ave
Ste. 100
Costa Mesa, CA 92626 - Phone
- (714) 436-4444
- Fax
- (714) 436-4812
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A46639 | CA | Primary |
Addresses
Primary practice location
1665 Scenic Ave
Ste. 100
Costa Mesa, CA 92626
Mailing address
1665 Scenic Ave
Ste. 100
Costa Mesa, CA 92626
Phone (714) 436-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A466390 | Other | CA | MEDI CAL # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Talbert Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1992701338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 SCENIC AVE",
"address_2": "STE. 100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-436-4444",
"fax_number": "714-436-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 SCENIC AVE",
"address_2": "STE. 100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "714-436-4444",
"fax_number": "714-436-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELY",
"first_name": "EVELYN",
"middle_name": "ABIUE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A46639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL #",
"identifier": "00A466390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.