EDGAR SUNGLAO EVANGELISTA NP
NPI 1447770581
Nurse Practitioner - Family in Glendora, CA

Q: What is Edgar Evangelista's NPI number?

The NPI number for Edgar Evangelista is 1447770581. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Q: What is Edgar Evangelista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Evangelista was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 20, 2017PECOS EnrolledAccepts Medicare Assignment

250 S GRAND AVE, GLENDORA, CA 91741(626) 857-3299 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edgar Sunglao Evangelista Np NPPES

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

EDGAR SUNGLAO EVANGELISTA NP (NPI 1447770581) is an individual family provider in Glendora, California, licensed in California (95006462) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447770581

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameEDGAR SUNGLAO EVANGELISTACredential: NP

Location Address250 S GRAND AVEGlendora, CA 91741-4218

Mailing Address505 S Shellman AveSan Dimas, CA 91773-3238 · (323) 363-3842

Phone(626) 857-3299

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 20, 2017

✔ NPI 1447770581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95006462

250 S GRAND AVE, Glendora, CA 91741

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edgar Sunglao Evangelista Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870850233

PECOS Enrollment IDI20201119000960

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91741 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 20

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

MENALAM HEALTH SERVICES PC

Radiology (Diagnostic Radiology)