DR. GIDEON G EVANGELISTA DDS
NPI 1417167388
Dentist - General Practice in Los Angeles, CA

Active since May 22, 2007
5029 EAGLE ROCK BLVD, LOS ANGELES, CA 90041(323) 256-4306 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gideon G Evangelista Dds NPPES

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

DR. GIDEON G EVANGELISTA DDS (NPI 1417167388) is an individual general practice provider in Los Angeles, California, licensed in California (32066) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1417167388
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GIDEON G EVANGELISTACredential: DDS
Location Address5029 EAGLE ROCK BLVDLos Angeles, CA 90041-1923
Mailing Address5029 Eagle Rock BlvdLos Angeles, CA 90041-1923 · (323) 256-4306
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1417167388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 32066
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5029 EAGLE ROCK BLVD, Los Angeles, CA 90041

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 Gideon Evangelista's NPI number?

The NPI number for Gideon Evangelista is 1417167388. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Gideon Evangelista located?

Gideon Evangelista practices at 5029 Eagle Rock Blvd, Los Angeles, CA 90041. The listed phone number is (323) 256-4306.

What is Gideon Evangelista's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gideon Evangelista was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.