Evergreen Pediatrics Inc
Pediatrics
Evergreen Pediatrics Inc is a San Jose, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
4205 San Felipe Rd, #110, San Jose, California - 95135-1503. They can be contacted on phone at
408-238-8303 and fax number 408-238-8375.
NPI number (Unique professional ID) for Evergreen Pediatrics Inc is
1972641736 which was assigned by NPPES on 02 Feb, 2007 and it was last updated on 02 Oct, 2013.
Evergreen Pediatrics Inc license number is
A33613 for Pediatrics (208000000X) in California.
Evergreen Pediatrics 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 Pediatrics Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Evergreen Pediatrics Inc |
|---|
Business Address:
Evergreen Pediatrics 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 : | 4205 San Felipe Rd, #110
San Jose, CA, 95135-1503
United States |
|---|
| Phone Number : | 408-238-8303 |
|---|
| Fax Number : | 408-238-8375 |
|---|
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 : | 1972641736 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 02 Feb, 2007 |
|---|
| Last Updated On : | 02 Oct, 2013 |
|---|
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 : | Pronoti Nigam |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | PHYSICIAN |
|---|
| Phone Number : | 408-238-8303 |
|---|
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 Pediatrics Inc are as mentioned. Primary taxonomy code for Evergreen Pediatrics Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A33613 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Evergreen Pediatrics Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| R09208 | Other | CA | BLUE CROSS MEDICAL |
| 1053390310 | Other | CA | PRONOTI NIGAM MD NPI |
| R09238 | Other | | BLUE CROSS MEDICAL |
| 1750497608 | Other | CA | ZAHIDA P MALIKMD NPI |
| 00A336130 | MEDICAID | CA | |
| 00C431251 | 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 : | 4205 San Felipe Rd, #110
San Jose, CA, 95135-1503
United States |
|---|
| Phone Number : | 408-238-8303 |
|---|
| Fax Number : | 408-238-8375 |
|---|
Business Location:
Patients can refer following map for directions to
Evergreen Pediatrics 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. Last updated on 08 January, 2024.