EVERGREEN HILLS MEDICAL GROUP
NPI 1396949822
Clinic/Center - Medical Specialty in San Jose, CA

Active since June 11, 2007
2690 S WHITE RD, SUITE 200, SAN JOSE, CA 95148(408) 223-7771(408) 223-7779 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evergreen Hills Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN HILLS MEDICAL GROUP (NPI 1396949822) is a healthcare organization registered as a medical specialty in San Jose, California and active in the NPI registry since June 2007. The organization lists Donald Siao, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396949822
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEVERGREEN HILLS MEDICAL GROUP
Location Address2690 S WHITE RD, SUITE 200San Jose, CA 95148-2076
Mailing Address2690 S White Rd, Suite 200San Jose, CA 95148-2076 · (408) 223-7771 · Fax (408) 223-7779
Fax(408) 223-7779
Organization SubpartNo
Authorized OfficialDonald SiaoCeo · (408) 223-7771
Enumeration DateJune 11, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1396949822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2690 S WHITE RD, San Jose, CA 95148

Other Identifiers 4

OtherA73641CA · State License Number
OtherG69952CA · State License Number
OtherG73395CA · State License Number
OtherA67291CA · State License Number

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2690 S WHITE RD, SUITE 255
SAN JOSE, CA 95148
Family Medicine
2690 S WHITE RD, SUITE200,
SAN JOSE, CA 95148
Optometrist
2690 S WHITE RD, SUITE 255
SAN JOSE, CA 95148
Family Medicine
2690 S WHITE RD, SUITE 200
SAN JOSE, CA 95148
Family Medicine
2690 S WHITE RD, SUITE #200
SAN JOSE, CA 95148
Dentist (General Practice)
2690 S WHITE RD, SUITE 90
SAN JOSE, CA 95148
Chiropractor
2690 S WHITE RD, STE. 40
SAN JOSE, CA 95148
Chiropractor
2690 S WHITE RD, SUITE 40
SAN JOSE, CA 95148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Hills Medical Group's NPI number?

The NPI number for Evergreen Hills Medical Group is 1396949822. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Evergreen Hills Medical Group located?

Evergreen Hills Medical Group is located at 2690 S White Rd Suite 200, San Jose, CA 95148. The listed phone number is (408) 223-7771.

What is Evergreen Hills Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Evergreen Hills Medical Group was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.