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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN PEDIATRIC ASSOCIATES INC.

Active Organization

EVERGREEN PEDIATRIC ASSOCIATES INC. is a Pediatrics organization located in SAN JOSE, California. NPI 1215960455 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SAN JOSE, CA

Registration Details

NPI Number
1215960455
Provider Type
Organization
NPI Issued
Jul 9, 2006 (19.916395889146 yrs)
Last Updated
Aug 22, 2020
License
FNP32950 (CA)

Practice Information

Address
1642 E CAPITOL EXPY
SAN JOSE, CA, 951211800
Browse CA providers · Browse ZIP 95121
Phone
4082703374
Fax
4082703384
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.