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

Evergreen Hills Medical Group

Organization Medical Specialty Clinic/Center · NPI 1396949822

Evergreen Hills Medical Group is a Medical Specialty Clinic/Center in San Jose, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2690 S White Rd Ste 200
San Jose, CA 95148-2076
Phone: (408) 223-7771
Fax: (408) 223-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1396949822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Siao — Ceo · (408) 223-7771
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2690 S White Rd, Suite 200, San Jose, CA 95148-2076

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