Gwyneth Evangelista, RN
Registered Nurse, Community Health in Oakland, CA. Individual provider (NPI-1).
NPI number1629426952
StatusActive
Last updated in NPPESMay 26, 2016
Details
- NPI
- 1629426952
- Entity type
- Individual (NPI-1)
- Name
- Gwyneth Evangelista
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2016
- Last updated
- May 26, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 823625 | CA | Yes |
Practice location
10700 Macarthur BlvdOakland, CA 94605-5298
Phone 510-563-4358 · Fax 510-563-4381
Mailing address
10700 Macarthur BlvdOakland, CA 94605-5298
Phone 510-563-4358 · Fax 510-563-4381
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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