NPI

Evan Thomas Geise

NPI 1215345194

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2014-07-23
Last updated
2017-12-14

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Specialties

Licenses

License CA
20A14765

Location

Practice location
4959 Palo Verde St Ste 206a-5
City
Montclair CA
Postal code
91763-2342
Phone
(909) 694-4016

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Family Medicine Doctors in Montclair, CA. 25 with this primary taxonomy in the public file.

Other NPIs in Montclair, CA. 1,613 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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