NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

EVAN SIRC, MD
1661 SOQUEL DR STE G
SANTA CRUZ, CA95065-1709
 Phone: 831-476-7711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EVAN SIRC · (Male)

NPI Number 1003019654
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2007
Last updated 10/16/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A119825
  • CA Medicaid 1003019654
  • CA Other 00A1198250 BCBS OF CA
Hospital affiliation(s)
  • JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS - (Acute Care)
    2540 EAST ST
    CONCORD, CA 94520
  • JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS - (Acute Care)
    1601 YGNACIO VALLEY RD
    WALNUT CREEK, CA 94598
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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