Evergreen Pediatric Associates Inc.
Pediatrics
Evergreen Pediatric Associates Inc. is a San Jose, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1642 E Capitol Expy, San Jose, California - 95121-1800. They can be contacted on phone at
408-270-3374 and fax number 408-270-3384.
NPI number (Unique professional ID) for Evergreen Pediatric Associates Inc. is
1215960455 which was assigned by NPPES on 09 Jul, 2006 and it was last updated on 22 Aug, 2020.
Evergreen Pediatric Associates Inc. license number is
FNP32950 for Pediatrics (208000000X) in California.
Evergreen Pediatric Associates Inc. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Evergreen Pediatric Associates Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Evergreen Pediatric Associates Inc. |
|---|
Business Address:
Evergreen Pediatric Associates Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1642 E Capitol Expy
San Jose, CA, 95121-1800
United States |
|---|
| Phone Number : | 408-270-3374 |
|---|
| Fax Number : | 408-270-3384 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215960455 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 09 Jul, 2006 |
|---|
| Last Updated On : | 22 Aug, 2020 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lindam. Ha |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | SECRETARY |
|---|
| Phone Number : | 408-270-3374 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Pediatric Associates Inc. are as mentioned. Primary taxonomy code for Evergreen Pediatric Associates Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | FNP32950 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Evergreen Pediatric Associates Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0102160 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1642 E Capitol Expy
San Jose, CA, 95121-1800
United States |
|---|
| Phone Number : | 408-270-3374 |
|---|
| Fax Number : | 408-270-3384 |
|---|
Business Location:
Patients can refer following map for directions to
Evergreen Pediatric Associates Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.