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

Evergreen Pediatrics Inc

Organization Pediatrics Physician · NPI 1972641736

Evergreen Pediatrics Inc is a Pediatrics Physician in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

4205 San Felipe Rd #110
San Jose, CA 95135-1503
Phone: (408) 238-8303
Fax: (408) 238-8375
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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 A33613 (CA)

Record details

NPI number1972641736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pronoti Nigam — Physician · (408) 238-8303
NPI enumeratedFebruary 2, 2007
Last updated in NPPESOctober 2, 2013
Mailing address4205 San Felipe Rd, 110, San Jose, CA 95135-1503

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