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JONATHAN EDWARD PANUELOS EVIDENTE
NPI 1447849104
Registered Nurse - Psychiatric/Mental Health in Orange, CA

Active since January 15, 2021
265 S ANITA DR STE 102-104, ORANGE, CA 92868(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2023, Oct 27, 2023, Jul 27, 2022 and 1 more (4 updates tracked since 2021).

About Jonathan Edward Panuelos Evidente NPPES

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

JONATHAN EDWARD PANUELOS EVIDENTE (NPI 1447849104) is an individual psychiatric/mental health provider in Orange, California, licensed in California (95285762) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1447849104
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameJONATHAN EDWARD PANUELOS EVIDENTE
Location Address265 S ANITA DR STE 102-104Orange, CA 92868-3355
Mailing Address9808 Venice Blvd Ste 505Culver City, CA 90232-6818 · (310) 945-3350 · Fax (310) 945-3356
Phone(310) 945-3350
Fax(310) 945-3356
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
Last NPPES UpdateDecember 12, 20234 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1447849104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 95285762
265 S ANITA DR STE 102-104, Orange, CA 92868
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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.

EXODUS RECOVERY, INC.
Community/Behavioral Health
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
PATRICIA ELIZARRARAZ
Social Worker (Clinical)
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
ELVIRA VAZQUEZ
Community Health Worker
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
DAJAHNEE JASMIN MILLION
Licensed Vocational Nurse
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350
ITZEL NATALY JIMENEZ
Community Health Worker
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350
YOLANDA VIZCARRA HILTON LPT
Licensed Psychiatric Technician
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (714) 410-3500
MARILYN L MILLAN
Licensed Vocational Nurse
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350
TRISTAN ANCHETA BILEY
Community Health Worker
265 S ANITA DR STE 102-104
ORANGE, CA 92868
Orange County (310) 945-3350

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 Jonathan Edward Evidente's NPI number?

The NPI number for Jonathan Edward Evidente is 1447849104. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Jonathan Edward Evidente located?

Jonathan Edward Evidente practices at 265 S Anita Dr Ste 102-104, Orange, CA 92868. The listed phone number is (310) 945-3350.

What is Jonathan Edward Evidente's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jonathan Edward Evidente was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.