EVERGREEN MEDICAL GROUP, INC. – NPI #1508159294
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

EVERGREEN MEDICAL GROUP, INC. is a provider located in SAN JOSE, CA. NPPES has assigned the NPI number 1508159294 to EVERGREEN MEDICAL GROUP, INC. on May 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 14 years ago on Mar 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN MEDICAL GROUP, INC. below.

NPI Profile for
EVERGREEN MEDICAL GROUP, INC.

NPI Number
1508159294
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN MEDICAL GROUP, INC.
Primary location
2690 S WHITE RD STE 50
SAN JOSE, CA 95148-2075
Phone: (408) 223-7000 Fax: (408) 223-7001
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LILY KAO
PHYSICIAN
Phone: (408) 223-7000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)		 CA A100943

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.