EVAN GORDON-WOLLIN DO
NPI 1710747175
Internal Medicine in West Hollywood, CA

Active since March 21, 2024
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(562) 833-4819 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evan Gordon-wollin Do NPPES

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

EVAN GORDON-WOLLIN DO (NPI 1710747175) is a healthcare organization registered as an internal medicine in West Hollywood, California and active in the NPI registry since March 2024. The organization lists Evan Ross Gordon-wollin, President, as its authorized official.

NPPES Registry Identity

NPI1710747175
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEVAN GORDON-WOLLIN DO
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address357 S Curson Ave Apt 12mLos Angeles, CA 90036-5276
Organization SubpartNo
Authorized OfficialEvan Ross Gordon-wollinPresident · (562) 833-4819
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1710747175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8700 BEVERLY BLVD, West Hollywood, CA 90048

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Gordon-wollin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evan Gordon-Wollin Do, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1548616873
1426 MONTANA AVE STE 2
Santa Monica, CA 90403
(310) 388-6798
✔ PECOS✔ Accepts Medicare7.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evan Gordon-Wollin Do's NPI number?

The NPI number for Evan Gordon-Wollin Do is 1710747175. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Evan Gordon-Wollin Do located?

Evan Gordon-Wollin Do is located at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (562) 833-4819.

What is Evan Gordon-Wollin Do's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evan Gordon-Wollin Do enrolled in Medicare?

Yes. Evan Gordon-Wollin Do is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evan Gordon-Wollin Do?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Evan Gordon-Wollin Do. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evan Gordon-Wollin Do was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.