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

Evergreen Medical Group, Inc

Organization Rheumatology Physician · NPI 1508159294

Evergreen Medical Group, Inc is a Rheumatology Physician in San Jose, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2690 S White Rd Ste 50
San Jose, CA 95148-2075
Phone: (408) 223-7000
Fax: (408) 223-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence A100943 (CA)

Record details

NPI number1508159294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lily Kao — Physician · (408) 223-7000
NPI enumeratedMay 27, 2011
Last updated in NPPESMarch 5, 2012
Mailing address2690 S White Rd Ste 50, San Jose, CA 95148-2075

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