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

Dr. Jacob Evans, DO

Individual provider Family Medicine Physician · NPI 1679772693

Dr. Jacob Evans, DO is a Family Practice in Keaau, Hawaii. Qualified in 2005, 21 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Hawaii.

Years since qualifying
21
Licensed in
CA, HI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

16-192 Pili Mua St
Keaau, HI 96749-8134
Phone: (808) 930-0400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DOS-1229 (HI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A9697 (CA)

Record details

NPI number1679772693
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESDecember 15, 2021
Mailing address224 Haili St, Suite B, Hilo, HI 96720-2975

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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