Healthcare Provider Details

I. General information

NPI: 1396188728
Provider Name (Legal Business Name): EVAN DAVID NAIR-GILL MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E VICTORIA ST FL 2
SANTA BARBARA CA
93101-2018
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 805-564-3233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC208543
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: