DR. EVAN NICHOLAS VIDAR (NPI# 1063953388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063953388 |
Entity Type | Individual |
Full Name | DR. EVAN NICHOLAS VIDAR |
Credential | MD |
Practice Address |
2020 Zonal Ave Ird 624 Los Angeles CA 90089 |
Mailing Address |
Po Box 1861 Studio City CA 91614-0861 |
Practice Telephone | 3234097556 |
Mailing Telephone | 8184151554 |
Enumeration Date | 2017-03-20 |
Last Update Date | 2020-07-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | A157033 | CA | Allopathic & Osteopathic Physicians |
Street Address |
2020 ZONAL AVE IRD 624 |
City | LOS ANGELES |
State | CA |
Zip Code | 90089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740226943 | Magnolia Mesina Eugenio | Nurse Practitioner | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2006-06-22 |
1346778578 | Kimeshia Thomas | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-06-01 |
1750812160 | Liya Stolyar | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-9300 | 2017-03-27 |
1003357310 | Jeffrey Yeh | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Ird 624, Los Angeles, CA 90089-0121 | 2017-03-20 |
1841731080 | Omeed Alipour | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Ird 624, Los Angeles, CA 90089-0121 | 2017-03-20 |
1629519889 | Joon Choi | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-03-20 |
1396286720 | Nathan Lim | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-03-18 |
1679014005 | Weihuang Ning | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Ird 620, Los Angeles, CA 90089-0121 | 2017-03-18 |
1255872602 | Ronak Patel | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-03-18 |
1710383187 | Justin Greenberg | Pediatrics | 2020 Zonal Ave, Ird Suite 112, Los Angeles, CA 90033 | 2014-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
Find all providers in zip 90089 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629680905 | Siavash Arani | Internal Medicine | 4524 San Pedro Pl, Los Angeles, CA 90011-3434 | 2020-08-19 |
1306455787 | All Health Medical Group, Inc | Internal Medicine | 1300 N Vermont Ave Ste 1008, Los Angeles, CA 90027-6096 | 2020-07-30 |
1912533985 | Milgrom Medical Inc. | Internal Medicine | 1555 Vine St Apt 433s, Los Angeles, CA 90028-5298 | 2020-03-20 |
1316582059 | Sera Ramadan, D.o., Inc | Internal Medicine | 1245 Wilshire Blvd Ste 812, Los Angeles, CA 90017-4808 | 2019-11-15 |
1154971018 | Del Refugio Healthcare Inc | Internal Medicine | 4800 S Central Ave Ste B, Los Angeles, CA 90011-5459 | 2019-09-12 |
1851957245 | Aviva Iofel, M.d., Inc. | Internal Medicine | 6234 Fountain Ave Unit B, Los Angeles, CA 90028-8214 | 2019-05-12 |
1588120539 | Netzah Health Corp | Internal Medicine | 866 N Vermont Ave Ste 2, Los Angeles, CA 90029-3587 | 2019-02-14 |
1306310495 | Baltimo Medical Center Inc | Internal Medicine | 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010-2905 | 2019-01-11 |
1528531316 | Dauna Marie Health Care Inc | Internal Medicine | 3755 Beverly Blvd Apt 303, Los Angeles, CA 90004-3540 | 2019-01-04 |
1710458005 | Equality Health Network PC | Internal Medicine | 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 | 2018-12-11 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90089 |
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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.