TIMOTHY KENT EVJE (NPI# 1023411949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023411949 |
| Entity Type | Individual |
| Full Name | TIMOTHY KENT EVJE |
| Credential | PA-C |
| Practice Address |
47111 Monroe St Indio CA 92201-6739 |
| Practice Telephone | 7607758111 |
| Mailing Telephone | 7607758111 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52009 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
47111 MONROE ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699716282 | Charles Kent Anderson | Anesthesiology | 47111 Monroe St, Indio, CA 92201-6739 | 2006-06-08 |
| 1487291571 | Christophe La | Pharmacist | 47111 Monroe St, Indio, CA 92201-6739 | 2019-12-08 |
| 1053962050 | Drew Zimmer | Emergency Medicine | 47111 Monroe St, Indio, CA 92201-6739 | 2019-09-23 |
| 1235791674 | John-john Loreto | Nurse Practitioner | 47111 Monroe St, Indio, CA 92201-6739 | 2019-07-06 |
| 1902465453 | Aulora Elizabeth Hammers | Nurse Practitioner | 47111 Monroe St, Indio, CA 92201-6739 | 2019-06-09 |
| 1538727607 | Jana Spedaliere | Nurse Practitioner | 47111 Monroe St, Indio, CA 92201-6799 | 2019-06-03 |
| 1043774144 | Stefan Meers Estrada | Physician Assistant | 47111 Monroe St, Indio, CA 92201-6739 | 2019-01-23 |
| 1508378126 | Tad Woraratanadharm | Pharmacist | 47111 Monroe St, Indio, CA 92201-6739 | 2017-11-05 |
| 1487177663 | Carmen Edna Cheung | Pharmacist | 47111 Monroe St, Indio, CA 92201-6739 | 2017-07-19 |
| 1114373537 | Laleh Ghaffarian | Emergency Medicine | 47111 Monroe St, Indio, CA 92201-6739 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851540 | Ana Lilia Valdovinos | Physician Assistant | 43722 Pettirosso St, Indio, CA 92203-2728 | 2020-08-11 |
| 1407036536 | Richard Byron Person | Physician Assistant | 47-923 Oasis Street, Indio, CA 92201 | 2007-11-06 |
| 1881611317 | Mitchell David Claire | Physician Assistant | 81-709 Dr. Carreon Blvd, Ste C-5, Indio, CA 92201 | 2006-07-17 |
| 1043774144 | Stefan Meers Estrada | Physician Assistant | 47111 Monroe St, Indio, CA 92201-6739 | 2019-01-23 |
| 1427575109 | Kara Smith | Physician Assistant | 81719 Dr Carreon Blvd Ste A, Indio, CA 92201-5518 | 2017-08-24 |
| 1326438946 | Wesley William Tolles | Physician Assistant | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2015-02-03 |
| 1992109268 | Janelle Colangelo | Physician Assistant | 81767 Dr Carreon Blvd, Suite 203, Indio, CA 92201-5597 | 2014-10-15 |
| 1003217605 | Christine Guzon Pagunuran | Physician Assistant | 47111 Monroe St, Indio, CA 92201-6739 | 2014-09-15 |
| 1922416023 | Zekhariah Inyasio Idro | Physician Assistant | 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 | 2014-08-01 |
| 1497018584 | Manuel Tovar | Physician Assistant | 82013 Doctor Carreon Blvd, Suite M, Indio, CA 92201-4832 | 2012-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.