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

MS. Evan Khristine Mangubat, PA-C

Individual provider Physician Assistant · NPI 1447898846

MS. Evan Khristine Mangubat, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
7
Licensed in
CA, UT
In the registry since
2019
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

5169 S Cottonwood St Ste 420
Murray, UT 84107-6769
Phone: (801) 507-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2139 E Beechwood Ave, Fresno, CA 93720-0340 — (559) 322-6600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13171808-1206 (UT)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1447898846
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 16, 2019
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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