EVERGREEN URGENT CARE INC (NPI# 1487048963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487048963 |
| Entity Type | Organization |
| Organization Name | EVERGREEN URGENT CARE INC |
| Practice Address |
2365 Quimby Road Suite 160 San Jose CA 95122-1337 |
| Mailing Address |
2110 Mckee Rd San Jose CA 95116-1427 |
| Practice Telephone | 4082585083 |
| Practice Fax Number | 4082584347 |
| Mailing Telephone | 4082585083 |
| Mailing Fax Number | 4082584347 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | MR. TAM HOANG NGNYEN (CEO/PHYSICIAN) |
| Authorized Official Telephone | 4082585083 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
2365 QUIMBY ROAD SUITE 160 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970733 | Instant Tele Care Inc | Clinic/Center | 5138 Monterey Hwy Ste G, San Jose, CA 95111-4382 | 2018-08-02 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1215340211 | Advanced Urgent Care Center Inc | Clinic/Center | 349 S Monroe St Ste 10, San Jose, CA 95128-5107 | 2014-06-06 |
| 1083875074 | County of Santa Clara | Clinic/Center | 2221 Enborg Ln Ste 200, San Jose, CA 95128-2608 | 2008-06-23 |
| 1043852999 | Direct Urgent Care Inc | Clinic/Center | 4150 N 1st St, San Jose, CA 95134-1513 | 2019-10-11 |
| 1164880761 | Silicon Valley Medical Development LLC | Clinic/Center | 828 S Winchester Blvd, San Jose, CA 95128-2930 | 2016-02-10 |
| 1093186421 | U.S. Healthworks Medical Group, PC | Clinic/Center | 1893 Monterey Road, Suite 200, San Jose, CA 95112 | 2015-10-12 |
| 1891175444 | Physicians Medical Group of San Jose, Inc. | Clinic/Center | 1910 N Capitol Ave, San Jose, CA 95132-1019 | 2015-06-08 |
| 1205186442 | Action Urgent Care Inc | Clinic/Center | 1375 Blossom Hill Rd, San Jose, CA 95118-3806 | 2012-09-14 |
| 1609901222 | Bay Area Urgent Care, Inc. | Clinic/Center | 696 E Santa Clara St, Suite 101, San Jose, CA 95112-1911 | 2007-02-22 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.