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Export Provider Record NPI 1154480887
Allan EvangelistaD.P.M., M.P.H.
Active
NPI Number1154480887
NPI TypeNPI-1 Individual
SpecialtyPodiatrist, Foot & Ankle Surgery
Provider Details
NPI1154480887
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-12-08
Last Updated2023-03-07
Mailing Address110 New Stine Rd
Bakersfield, CA 93309-2605
United States
Phone: (661) 832-1667 | Fax: (208) 719-0085
📍 View Map
Primary Practice Address110 New Stine Rd
Bakersfield, CA 93309-2605
United States
Phone: (661) 832-1667 | Fax: (661) 832-7145
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-$$$$$$$$$OH Comp
Other (non-Medicare)-1007775620010PA MA Group
MEDICAIDPA1020943590001-
Other (non-Medicare)-2018774Blue Shield
Other (non-Medicare)-2022587BS Group for Podiatry
MEDICAIDOH2834099-
Other (non-Medicare)-412213UPMC
Other (non-Medicare)-812105Health America
Other (non-Medicare)-P00658026MC RR
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No213ES0103X – Podiatrist, Foot & Ankle SurgeryCAE5423
No213ES0103X – Podiatrist, Foot & Ankle SurgeryFLPO4022
No213ES0103X – Podiatrist, Foot & Ankle SurgeryOH36.003534
No213ES0103X – Podiatrist, Foot & Ankle SurgeryPASC005582
Yes213ES0103X – Podiatrist, Foot & Ankle SurgeryWV10442
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About NPI 1154480887

Allan Evangelista D.P.M., M.P.H. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154480887. The primary specialty listed is Podiatrist, Foot & Ankle Surgery. The provider is located in Bakersfield, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154480887?

NPI 1154480887 belongs to Allan Evangelista D.P.M., M.P.H., a Podiatrist, Foot & Ankle Surgery in Bakersfield, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154480887 active?

The current status of NPI 1154480887 in the NPPES registry is Active. The record was last updated on 2023-03-07.

What specialty is NPI 1154480887?

NPI 1154480887 is classified under the taxonomy Podiatrist, Foot & Ankle Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154480887?

You can verify NPI 1154480887 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154480887?

The primary practice address on file for NPI 1154480887 is 110 New Stine Rd, Bakersfield, CA 93309-2605. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154480887 issued?

NPI 1154480887 was first issued (enumerated) on 2006-12-08. The NPPES record was last updated on 2023-03-07.

Practice Location Map

Allan Evangelista is located at 110 New Stine Rd, Bakersfield, CA. Use the map below to find directions or verify the practice location.

📍 110 New Stine Rd, Bakersfield, CA 93309-2605  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Allan Evangelista. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1154480887. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Podiatrist, Foot & Ankle SurgeryE5423CA
Podiatrist, Foot & Ankle SurgeryPO4022FL
Podiatrist, Foot & Ankle Surgery36.003534OH
Podiatrist, Foot & Ankle SurgerySC005582PA
Podiatrist, Foot & Ankle Surgery10442WV
Data Verified from CMS NPPES Last synced: 2026-08-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162