LGTC Management Company

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

LGTC MANAGEMENT COMPANY

Doing business as

LGTC Cambrian

Practice address

1534 San Andreas Ave
San Jose, CA 95118-1055

Phone

(408) 553-3403

NPI assigned

Jan 26, 2024

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eugene Tilman

Title

Executive Director

Phone

(408) 559-3403

Specialties & licenses 1

Addresses

Other names 1

• LGTC Cambrian Doing business as

Tax ID family

LGTC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• LGTC Inc

  dba LGTC

  • Registered Dietitian
  • San Jose, CA
  • NPI 1710749494
  NPD tax ID
• LGTC Management Company

  dba LGTC - Willow Glen

  • Psychiatric Residential Treatment Facility
  • San Jose, CA
  • NPI 1447987367
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1033971874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 SAN ANDREAS AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181055",
            "telephone_number": "408-553-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGTC MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-559-3403"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LGTC Cambrian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natanael Leyva
• Celia Leyva,
• LGTC Group
• LGTC Group
• LGTC Inc (LGTC)
• LGTC Management Company (LGTC - Willow Glen)
• LHC Acupuncture Inc (Light Health Center)
• LHC Medical Group LLC
• Ellen Lhee
• Li Bai Health Center

• Psychiatric Residential Treatment Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.