Timothy M. Evans, MD
Individual provider Active NPI Pulmonary Disease Physician · Fresno, CA
NPI 1992724447 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1992724447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- C50746 (CA)
- Practice address
- 2335 E Kashian LN Ste 280
Fresno, CA 93701-2211 - Phone
- (559) 256-5130
- Fax
- (559) 485-4504
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- University of Rochester School of Medicine and Dentistry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fresno Community Hospital and Medical Center
Central California Faculty Medical Group Inc
Practice addresses (Care Compare)
15 E Audubon Dr
Fresno Heart and Surgical Hospital
Fresno, CA 93720-1542
Phone (559) 433-8000
2335 E Kashian LN
Suite 280
Fresno, CA 93701-2211
Phone (559) 320-1090
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-2438
Hospital & facility affiliations
- Community Regional Medical Center
- Clovis Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070906000858 | CA | Practitioner - Pulmonary Disease |
6709979784 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central California Faculty Medical Group, Inc. | Current |
Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current |
Accepting new patients | |
| University Faculty Associates , Inc. | Current |
Accepting new patients | |
| University Faculty Associates, Inc. | Internal Medicine | Current |
Accepting new patients |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| University Faculty Associates, Inc. | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
6311 N Fresno St
Ste 106
Fresno, CA 93710
Phone (559) 435-4700
2335 E Kashian Ln
Ste 260
Fresno, CA 93701
Phone (559) 256-5130
2335 E Kashian Ln
Ste 280
Fresno, CA 93701
Phone (559) 256-5130
290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101
6733 N Willow Ave
Ste 107
Fresno, CA 93710
Phone (559) 435-4700
290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
Interoperability endpoints
- timothy.evans.1@31788.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C50746 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C50746 | CA | |
| Pulmonary Disease Physician | 207RP1001X | C50746 | CA | Yes |
Addresses
Primary practice location
2335 E Kashian LN Ste 280
Fresno, CA 93701-2211
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C507460 | Medicaid | CA |
Other providers in Fresno, CA
- Sandra Evans
- Sarah C Evans
- Savannah Evans
- Scott Matthew Evans
- Shahana Evans
- Estella Veronica Evaro
- Estelle Ruth Everett
- Al Joe Everette
- Evergreen Care Center LLC
- Evergreen Life Care Homes Inc.
All providers in Fresno, CA · Pulmonary Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.