Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Jae Beale, PA-C

Individual provider Physician Assistant · NPI 1689174146

Evan Jae Beale, PA-C is a Physician Assistant in San Diego, California. Qualified in 2017, 9 years ago. Practices with Zitelli and Brodland PC, a 25-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
9
Licensed in
AZ, CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9339 Genesee Ave Ste 350A
San Diego, CA 92121-2119
Phone: (858) 263-0571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55344 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 7083 (AZ)

Record details

NPI number1689174146
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2018
Last updated in NPPESMarch 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Zitelli And Brodland Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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