Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Evan Nicholas Vidar, MD

Individual provider Internal Medicine Physician · NPI 1063953388

Dr. Evan Nicholas Vidar, MD is an Internal Medicine in Studio City, California. Graduated from University of Southern California Keck School of Medicine in 2015, 11 years ago. Practices with Centinela Hospitalist Medical Group Inc, an 11-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
11
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3950 Laurel Canyon Blvd #1322
Studio City, CA 91604-0322
Phone: (818) 980-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 Zonal Ave, Los Angeles, CA 90089 — (323) 409-7556

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A157033 (CA)

Record details

NPI number1063953388
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESApril 8, 2021
Certification dateMarch 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Centinela Hospitalist Medical Group Inc — 11 clinicians
Accepts Medicare assignment Not indicated

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