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

Jonathan Edward Panuelos Evidente

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1447849104

Jonathan Edward Panuelos Evidente is a Psychiatric/Mental Health Registered Nurse in Orange, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone: (310) 945-3350
Fax: (310) 945-3356
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95285762 (CA)

Record details

NPI number1447849104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2021
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address9808 Venice Blvd Ste 505, Culver City, CA 90232-6818

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