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DEVON EVANOVICH MD
NPI 1609662196
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 19, 2025PECOS Enrolled
1101 VAN NESS AVE # 1120, SAN FRANCISCO, CA 94109(415) 600-3954 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Devon Evanovich Md NPPES

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

DEVON EVANOVICH MD (NPI 1609662196) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609662196
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameDEVON EVANOVICHCredential: MD
Location Address1101 VAN NESS AVE # 1120San Francisco, CA 94109-6919
Mailing Address1101 Van Ness Ave # 1120San Francisco, CA 94109-6919 · (415) 600-3954
Phone(415) 600-3954
Sole ProprietorYes
Enumeration DateApril 19, 2025
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1609662196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1101 VAN NESS AVE # 1120, San Francisco, CA 94109
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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 (PECOS)

Devon Evanovich Md 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.

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.

TANNER FREDIANI MD
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
SAMANTHA JOSEPH
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
ANNA THIEMANN
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
MARIAM SADAT HOSSEINI GOHAR MD
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
LUCA BREMNER
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
MARK OET MD
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954
MARANATHA TEFERI
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-6000
CHRISTOPHER DOMANSKI
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-3954

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 Devon Evanovich's NPI number?

The NPI number for Devon Evanovich is 1609662196. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Where is Devon Evanovich located?

Devon Evanovich practices at 1101 Van Ness Ave # 1120, San Francisco, CA 94109. The listed phone number is (415) 600-3954.

What is Devon Evanovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Devon Evanovich enrolled in Medicare?

Yes. Devon Evanovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Devon Evanovich was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.