EVELYN JANKOWSKI MD INC
NPI 1831200633
Dermatology in Granada Hills, CA

Active since August 31, 2006
10316 WOODLEY AVE, GRANADA HILLS, CA 91344(813) 368-5651(818) 363-4770 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evelyn Jankowski Md Inc NPPES

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

EVELYN JANKOWSKI MD INC (NPI 1831200633) is a healthcare organization registered as a dermatology in Granada Hills, California and active in the NPI registry since August 2006. The organization lists Anna Lee, Npc, as its authorized official.

NPPES Registry Identity

NPI1831200633
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEVELYN JANKOWSKI MD INC
Location Address10316 WOODLEY AVEGranada Hills, CA 91344
Mailing Address10316 Woodley AveGranada Hills, CA 91344 · (813) 368-5651 · Fax (818) 363-4770
Fax(818) 363-4770
Organization SubpartNo
Authorized OfficialAnna LeeNpc · (818) 368-5651
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1831200633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G032630
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10316 WOODLEY AVE, Granada Hills, CA 91344

Other Identifiers 2

Medicare ID-Type UnspecifiedW14505
Medicare UPINA45222

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Jankowski Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040824000958Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evelyn Jankowski MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1083604755
10316 WOODLEY AVE
Granada Hills, CA 91344
(818) 368-5651
✔ PECOS✔ Accepts MedicareSame address

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 Evelyn Jankowski MD Inc's NPI number?

The NPI number for Evelyn Jankowski MD Inc is 1831200633. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Evelyn Jankowski MD Inc located?

Evelyn Jankowski MD Inc is located at 10316 Woodley Ave, Granada Hills, CA 91344. The listed phone number is (813) 368-5651.

What is Evelyn Jankowski MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Evelyn Jankowski MD Inc enrolled in Medicare?

Yes. Evelyn Jankowski MD Inc is registered in the Medicare PECOS enrollment system.

When is Evelyn Jankowski MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Evelyn Jankowski MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Evelyn Jankowski MD Inc. 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 Evelyn Jankowski MD Inc was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.