DR. EVAN NICHOLAS VIDAR MD
NPI 1063953388
Internal Medicine in Studio City, CA

Q: What is Evan Vidar's NPI number?

The NPI number for Evan Vidar is 1063953388. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is Evan Vidar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Vidar was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2017PECOS Enrolled

3950 LAUREL CANYON BOULEVARD #1322, STUDIO CITY, CA 91604(818) 980-7800 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2021, Jul 26, 2020, Mar 20, 2017 (3 updates tracked since 2017).

On this page

About Dr. Evan Nicholas Vidar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN NICHOLAS VIDAR MD (NPI 1063953388) is an individual internal medicine provider in Studio City, California, licensed in California (A157033) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Southern California Keck School Of Medicine (2015).

NPPES Registry Identity

NPI1063953388

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. EVAN NICHOLAS VIDARCredential: MD

Location Address3950 LAUREL CANYON BOULEVARD #1322Studio City, CA 91604-0322

Mailing Address3950 Laurel Canyon Boulevard #1322Studio City, CA 91604-0322 · (818) 980-7800

Phone(818) 980-7800

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2015

Enumeration DateMarch 20, 2017

Last NPPES UpdateApril 8, 20213 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1063953388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A157033

Definition

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.

Secondary Practice Location 1

Location 12020 Zonal Ave, IRD 624Los Angeles, CA 90089 · Phone (323) 409-7556

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan Nicholas Vidar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709137821

PECOS Enrollment IDI20200916001238

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Evan Vidar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centinela Hospitalist Medical Group Inc

Internal Medicine

555 E HARDY ST
Inglewood, CA 90301

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1144493461 (310) 680-8095

Healthcare Partners Affiliates Medical Group

Internal Medicine

1120 W WASHINGTON BLVD
Los Angeles, CA 90015

Reassigned Medicare billing, California enrollment
2,052 clinicians in this Medicare group

NPI 1659312593 (213) 623-2225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

947 services256 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

498 services81 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

481 services46 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

294 services259 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

267 services235 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

259 services234 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Vidar's NPI number?

The NPI number for Evan Vidar is 1063953388. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Evan Vidar located?

Evan Vidar practices at 3950 Laurel Canyon Boulevard #1322, Studio City, CA 91604. The listed phone number is (818) 980-7800.

What is Evan Vidar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evan Vidar enrolled in Medicare?

Yes. Evan Vidar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evan Vidar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Vidar reassigns Medicare benefits to 2 organizations: Centinela Hospitalist Medical Group Inc (Inglewood, CA) and Healthcare Partners Affiliates Medical Group (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Vidar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Vidar was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.