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EVERGREEN URGENT CARE INC
NPI 1487048963
Clinic/Center - Urgent Care in San Jose, CA

Active since March 24, 2015CLIA 05D2100866 · Waiver
2365 QUIMBY ROAD, SUITE 160, SAN JOSE, CA 95122(408) 258-5083(408) 258-4347 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Urgent Care Inc NPPES

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

EVERGREEN URGENT CARE INC (NPI 1487048963) is a healthcare organization registered as an urgent care in San Jose, California and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Tam Hoang Ngnyen, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1487048963
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameEVERGREEN URGENT CARE INC
Location Address2365 QUIMBY ROAD, SUITE 160San Jose, CA 95122-1337
Mailing Address2110 Mckee RdSan Jose, CA 95116-1427 · (408) 258-5083 · Fax (408) 258-4347
Phone(408) 258-5083
Fax(408) 258-4347
Organization SubpartNo
Authorized OfficialTam Hoang NgnyenCeo/physician · (408) 258-5083
Enumeration DateMarch 24, 2015
Last NPPES UpdateOctober 22, 2015
✔ NPI 1487048963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2365 QUIMBY ROAD, San Jose, CA 95122
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2100866

Evergreen Urgent Care Center · San Jose, CA
Active · expires May 20, 2028
CLIA Number05D2100866
Laboratory TypeUrgent Care Center
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorTam H. Nguyen
Laboratory Phone(408) 550-2750
Laboratory LocationEvergreen Urgent Care Center2365 Quimby Rd Ste 160, San Jose, CA 95122
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Evergreen Pharmacy 2 carries, from the Medicare DMEPOS supplier directory.

Evergreen Pharmacy 2

DMEPOS supplier · San Jose, CAOperated by Evergreen Pharmacy Inc
✔

Accepts Medicare assignment

Evergreen Pharmacy 2 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20560415
Medicare Participant SinceJanuary 1, 2008
Supplier Location2365 Quimby RdSan Jose, CA 95122
Phone(408) 531-9961
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

VALLEY ADVANTAGE MEDICAL GROUP INC
Internal Medicine
2365 QUIMBY ROAD, SUITE 160
SAN JOSE, CA 95122
Santa Clara County (408) 550-2750

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 Urgent Care Inc's NPI number?

The NPI number for Evergreen Urgent Care Inc is 1487048963. It was assigned to this organization in the NPPES registry on March 24, 2015.

Where is Evergreen Urgent Care Inc located?

Evergreen Urgent Care Inc is located at 2365 Quimby Road Suite 160, San Jose, CA 95122. The listed phone number is (408) 258-5083.

What is Evergreen Urgent Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Evergreen Urgent Care Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Evergreen Pharmacy 2 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Evergreen Urgent Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2100866) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Urgent Care Inc was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.