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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

EVAN ROLFE OBERHOLSTER MD
NPI 1831770429
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 16, 2021PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4911(909) 558-0490 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Apr 16, 2021 (2 updates tracked since 2021).

About Evan Rolfe Oberholster Md NPPES

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

EVAN ROLFE OBERHOLSTER MD (NPI 1831770429) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831770429
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN ROLFE OBERHOLSTERCredential: MD
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing Address11234 Anderson StLoma Linda, CA 92350-1716 · (909) 558-4911 · Fax (909) 558-0490
Phone(909) 558-4911
Fax(909) 558-0490
Sole ProprietorNo
Enumeration DateApril 16, 2021
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1831770429 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.

11234 ANDERSON ST, Loma Linda, CA 92350
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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)

Evan Rolfe Oberholster 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.

DR. AMY EMILY SCHILL-DEPEW MD
Internal Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
RHEA EVA CROFTON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
REBECCA ANNE MARKLE CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST, RM A504
LOMA LINDA, CA 92350
San Bernardino County (909) 558-7811
DR. DESIREE ROCHELLE NYCHOLAT M.D.
Pediatrics
11234 ANDERSON ST, LOMA LINDA UNIVERSITY MEDICAL CENTER, PEDIATRICS
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4174
ASHLEY EDEN LOPEZ CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
RACHEL ALLEN
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4289
DR. KENNETH MARCEL DE LOS REYES M.D.
Neurological Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4419
DARCY JAMES MAINVILLE M.D.
Anesthesiology (Critical Care Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4085

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 Oberholster's NPI number?

The NPI number for Evan Oberholster is 1831770429. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Evan Oberholster located?

Evan Oberholster practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4911.

What is Evan Oberholster's specialty?

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

Is Evan Oberholster enrolled in Medicare?

Yes. Evan Oberholster is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Oberholster was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.