MR. EVAN MACNAUGHTON PUGH PA
NPI 1255100053
Physician Assistant - Medical in San Diego, CA

Active since December 21, 2023PECOS Enrolled
3030 CHILDRENS WAY, SAN DIEGO, CA 92132(858) 966-6789 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Evan Macnaughton Pugh Pa NPPES

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

MR. EVAN MACNAUGHTON PUGH PA (NPI 1255100053) is an individual medical provider in San Diego, California, licensed in California (PA64905) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255100053
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. EVAN MACNAUGHTON PUGHCredential: PA
Location Address3030 CHILDRENS WAYSan Diego, CA 92132-1914
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Enumeration DateDecember 21, 2023
Last NPPES UpdateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
NPI 1255100053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA64905
3030 CHILDRENS WAY, San Diego, CA 92132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Evan Macnaughton Pugh Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Pugh's NPI number?

The NPI number for Evan Pugh is 1255100053. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Evan Pugh located?

Evan Pugh practices at 3030 Childrens Way, San Diego, CA 92132. The listed phone number is (858) 966-6789.

What is Evan Pugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Evan Pugh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Pugh was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.