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EVERGREEN MEDICAL GROUP, INC.
NPI 1508159294
Internal Medicine - Rheumatology in San Jose, CA

Active since May 27, 2011
2690 S WHITE RD STE 50, SAN JOSE, CA 95148(408) 223-7000(408) 223-7001 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Medical Group, Inc. NPPES

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

EVERGREEN MEDICAL GROUP, INC. (NPI 1508159294) is a healthcare organization registered as a rheumatology in San Jose, California and active in the NPI registry since May 2011. The organization lists Lily Kao, Physician, as its authorized official.

NPPES Registry Identity

NPI1508159294
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameEVERGREEN MEDICAL GROUP, INC.
Location Address2690 S WHITE RD STE 50San Jose, CA 95148-2075
Mailing Address2690 S White Rd Ste 50San Jose, CA 95148-2075 · (408) 223-7000 · Fax (408) 223-7001
Phone(408) 223-7000
Fax(408) 223-7001
Organization SubpartNo
Authorized OfficialLily KaoPhysician · (408) 223-7000
Enumeration DateMay 27, 2011
Last NPPES UpdateMarch 5, 2012
✔ NPI 1508159294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · A100943
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2690 S WHITE RD STE 50, San Jose, CA 95148
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

ALEX PHAM PA-C
Physician Assistant
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
DR. ANJALI JAIN M.D.
Pediatrics (Pediatric Endocrinology)
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
DR. THU PHUONG HO M.D.
Pediatrics (Pediatric Endocrinology)
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
JOYCE VALENCIA NP
Nurse Practitioner
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
VIVIAN DIEP
Physician Assistant
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
DR. LILY KAO MD
Internal Medicine (Rheumatology)
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
DR. JOSELITO C CABACCAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000
DR. THOMAS MARKUS FANDEL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2690 S WHITE RD STE 50
SAN JOSE, CA 95148
Santa Clara County (408) 223-7000

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 Medical Group, Inc.'s NPI number?

The NPI number for Evergreen Medical Group, Inc. is 1508159294. It was assigned to this organization in the NPPES registry on May 27, 2011.

Where is Evergreen Medical Group, Inc. located?

Evergreen Medical Group, Inc. is located at 2690 S White Rd Ste 50, San Jose, CA 95148. The listed phone number is (408) 223-7000.

What is Evergreen Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Evergreen Medical Group, Inc. was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.