EVOLVE RESTORATIVE CENTER
NPI 1215437249
Pain Medicine - Interventional Pain Medicine in Santa Rosa, CA

Q: What is Evolve Restorative Center's NPI number?

The NPI number for Evolve Restorative Center is 1215437249. It was assigned to this organization in the NPPES registry on February 16, 2018.

Q: What is Evolve Restorative Center's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since February 16, 2018

220 CONCOURSE BLVD, SANTA ROSA, CA 95403(844) 527-7369(844) 847-4943 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Apr 11, 2024, Jul 14, 2023 and 2 more (5 updates tracked since 2018).

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About Evolve Restorative Center NPPES

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

EVOLVE RESTORATIVE CENTER (NPI 1215437249) is a healthcare organization registered as an interventional pain medicine in Santa Rosa, California and active in the NPI registry since February 2018. The organization maintains 2 additional practice locations and lists Eric Bruntlett, Coo, as its authorized official.

NPPES Registry Identity

NPI1215437249

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameEVOLVE RESTORATIVE CENTER

Location Address220 CONCOURSE BLVDSanta Rosa, CA 95403-8210

Mailing Address220 Concourse BlvdSanta Rosa, CA 95403-8210 · (844) 527-7369 · Fax (844) 847-4943

Phone(844) 527-7369

Fax(844) 847-4943

Organization SubpartNo

Authorized OfficialEric BruntlettCoo · (707) 495-9632

Enumeration DateFebruary 16, 2018

Last NPPES UpdateJune 12, 20255 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1215437249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

220 CONCOURSE BLVD, Santa Rosa, CA 95403

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Secondary Practice Locations 2

Location 15150 Hill Rd E Ste CLakeport, CA 95453-5100 · Phone (844) 527-7369 · Fax (844) 847-4943

Location 2181 Andrieux St Ste 107Sonoma, CA 95476-6920 · Phone (844) 527-7369 · Fax (844) 847-4943

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2172616

Evolve Restorative Center · Santa Rosa, CA

Expired · Jul 14, 2026

CLIA Number05D2172616

Laboratory TypePhysician Office

Certificate Effective DateJuly 15, 2024

Certificate Expiration DateJuly 14, 2026

Laboratory DirectorDr. Kim Janatpour

Laboratory Phone(844) 527-7369

Laboratory LocationEvolve Restorative Center220 Concourse Blvd, Santa Rosa, CA 95403

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE BARLOW ACNP-BC

Nurse Practitioner (Acute Care)