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EVON GHATAS EBRAHAM MD
NPI 1629285465
Family Medicine in Loma Linda, CA

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
25455 BARTON RD, SUITE A, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evon Ghatas Ebraham Md NPPES

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

EVON GHATAS EBRAHAM MD (NPI 1629285465) is an individual family medicine provider in Loma Linda, California, licensed in California (A97683) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1629285465
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEVON GHATAS EBRAHAMCredential: MD
Location Address25455 BARTON RD, SUITE ALoma Linda, CA 92354-3128
Mailing Address25455 Barton Rd, Suite ALoma Linda, CA 92354-3128 · (909) 558-4000
Phone(909) 558-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateMay 17, 2007
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1629285465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A97683
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25455 BARTON RD, Loma Linda, CA 92354
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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

Evon Ghatas Ebraham Md 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 ID9335326156
PECOS Enrollment IDI20110603000487
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 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

LAUREN SIMON M.D.
Family Medicine (Sports Medicine)
25455 BARTON RD, SUITE 204B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
BARBARA ORR M.D.
Family Medicine
25455 BARTON RD, STE 204B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
LOMA LINDA INLAND CONSORTIUM FOR HEALTHCARE EDUCATION
Clinic/Center
25455 BARTON RD, SUITE 209-B
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6688
VICTORIA V TEPPONE FNP
Family Medicine
25455 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
TERESA P. AVANTS, M.D., INC.
Obstetrics & Gynecology
25455 BARTON RD, SUITE A204
LOMA LINDA, CA 92354
San Bernardino County (909) 799-8620
T ALLAN DARNELL M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
25455 BARTON RD, STE.106A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6222
MICAH CLEMENT PA
Physician Assistant
25455 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600
MICHELLE OPSAHL M.D.
Family Medicine
25455 BARTON RD, STE. 204A
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6600

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 Evon Ebraham's NPI number?

The NPI number for Evon Ebraham is 1629285465. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Evon Ebraham located?

Evon Ebraham practices at 25455 Barton Rd Suite A, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Evon Ebraham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evon Ebraham enrolled in Medicare?

Yes. Evon Ebraham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Evon Ebraham was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.