Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Diabetes & Endocrinology Medical Group, PLLC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1497766190

Evergreen Diabetes & Endocrinology Medical Group, PLLC is an Endocrinology, Diabetes & Metabolism Physician in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13118 121st Way NE Ste 103
Kirkland, WA 98034-3004
Phone: (425) 899-6414
Fax: (425) 899-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 602612648 (WA)

Record details

NPI number1497766190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward La Cava — Owner · (425) 899-6414
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 23, 2008
Mailing address13118 121 Way Ne, Suite 103, Kirkland, WA 98034-3004

Other providers in Kirkland