Elite Robotic Surgical Consultants of California PC
NPI 1124988639ActiveOrganization· Urology· Oroville, CA
Urology in Oroville, California, registered in NPPES in November 2025. The authorized official on file is Jaclyn Evans, Executive Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124988639 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2025 |
| Last updated in NPPES | Feb 17, 2026 |
| Certified by provider | Feb 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Surgery | 208600000X | — | — |
| Urology, Urogynecology and Reconstructive Pelvic Surgery | 2088F0040X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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