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

Evergreen Pediatric Associates Inc

Organization Pediatrics Physician · NPI 1215960455

Evergreen Pediatric Associates Inc provides Pediatrics Physician services 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
Show map & directions

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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