Individual
DR. ALLAN EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M., M.P.H.
Contact information
Practice address
110 NEW STINE RD, BAKERSFIELD, CA 93309-2605
(661) 832-1667
(661) 832-7145
Mailing address
110 NEW STINE RD, BAKERSFIELD, CA 93309-2605
(661) 832-1667
(208) 719-0085
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10442
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003534
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
E5423
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4022
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005582
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007775620010
PA MA GROUP
—
05
—
1020943590001
—
PA
01
—
2018774
BLUE SHIELD
—
01
—
2022587
BS GROUP FOR PODIATRY
—
05
—
2834099
—
OH
01
—
412213
UPMC
—
01
—
812105
HEALTH AMERICA
—
01
—
P00658026
MC RR
—
Enumeration date
12/08/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us