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JONATHAN EVANCULLA
NPI 1740840214
Counselor - Mental Health in Los Angeles, CA

Active since June 17, 2019
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Jun 17, 2019 (2 updates tracked since 2019).

About Jonathan Evanculla NPPES

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

JONATHAN EVANCULLA (NPI 1740840214) is an individual mental health provider in Los Angeles, California, licensed in California (103106) and active in the NPI registry since June 2019. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1740840214
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJONATHAN EVANCULLA
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address4211 Avalon BlvdLos Angeles, CA 90011-5622 · (323) 233-0425
Phone(323) 233-0425
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1740840214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 103106
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 103106 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4211 AVALON BLVD, Los Angeles, CA 90011
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Secondary Practice Location 1

Location 1333 S Beaudry AveLos Angeles, CA 90017-1466 · Phone (213) 241-3841 · Fax (213) 241-3305

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.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Evanculla's NPI number?

The NPI number for Jonathan Evanculla is 1740840214. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Jonathan Evanculla located?

Jonathan Evanculla practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 233-0425.

What is Jonathan Evanculla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jonathan Evanculla was last updated on August 25, 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.