KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
NPI 1902855588
Family Medicine in Ceres, CA

Active since May 09, 2006
3641 MITCHELL RD, H, CERES, CA 95307(209) 531-0154(209) 531-0176 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry B Evnin Md Inc A Professional Medical Corporation NPPES

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

KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION (NPI 1902855588) is a healthcare organization registered as a family medicine in Ceres, California and active in the NPI registry since May 2006. The organization lists Kerry B Evnin, President, as its authorized official.

NPPES Registry Identity

NPI1902855588
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
Location Address3641 MITCHELL RD, HCeres, CA 95307
Mailing Address3641 Mitchell Rd, HCeres, CA 95307 · (209) 531-0154 · Fax (209) 531-0176
Fax(209) 531-0176
Organization SubpartNo
Authorized OfficialKerry B EvninPresident · (209) 531-0154
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 29, 2010
NPI 1902855588 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 · 655240
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.
3641 MITCHELL RD, Ceres, CA 95307

Other Identifiers 1

Medicare UPINA52907

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3641 MITCHELL RD, STE H
CERES, CA 95307

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 Kerry B Evnin MD Inc A Professional Medical Corporation's NPI number?

The NPI number for Kerry B Evnin MD Inc A Professional Medical Corporation is 1902855588. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Kerry B Evnin MD Inc A Professional Medical Corporation located?

Kerry B Evnin MD Inc A Professional Medical Corporation is located at 3641 Mitchell Rd H, Ceres, CA 95307. The listed phone number is (209) 531-0154.

What is Kerry B Evnin MD Inc A Professional Medical Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry B Evnin MD Inc A Professional Medical Corporation was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.