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

Evergreen Pediatric Associates Inc

Organization Pediatrics Physician · NPI 1215960455

Evergreen Pediatric Associates Inc is a Pediatrics Physician in San Jose, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone: (408) 270-3374
Fax: (408) 270-3384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence FNP32950 (CA)

Record details

NPI number1215960455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Ha — Secretary · (408) 270-3374
NPI enumeratedJuly 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1642 E Capitol Expy, San Jose, CA 95121-1800

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