Evergreen Golden Health Center a Medical Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

FNP36749 Issued in CA

Legal business name

EVERGREEN GOLDEN HEALTH CENTER A MEDICAL CORPORATION

Practice address

888 N Winchester Blvd
San Jose, CA 95128-1353

Phone

(408) 243-1528

Fax

(408) 243-7366

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert K. Lin, M.D., M.P.H.NPI 1396848230

Title

President

Phone

(408) 243-1528

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert K.C. Lin, M.D., M.P.H.

  • General Practice Physician
  • San Jose, CA
  • NPI 1396848230
  NPD (past) Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1255515987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 N WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281353",
            "telephone_number": "408-243-1528",
            "fax_number": "408-243-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 N WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281353",
            "telephone_number": "408-243-1528",
            "fax_number": "408-243-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN GOLDEN HEALTH CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-243-1528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "FNP36749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Everett
• Evergreen Acupunture Clinic
• Evergreen Cardiology Group, Inc
• Evergreen Elementary School District
• Evergreen Eyecare Optometry Inc.
• Evergreen Hematology Oncology Associates
• Evergreen Hills Medical Group
• Evergreen Medical Associates Inc
• Evergreen Medical Group, Inc.
• Evergreen Natural Healing Arts

• Health Service Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.