Evergreen Cardiology Group, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

EVERGREEN CARDIOLOGY GROUP, INC

Practice address

200 Jose Figueres Ave Ste 330
San Jose, CA 95116-1590

Phone

(408) 251-7900

Fax

(408) 258-3100

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Adrian Ma, M.D.

Title

Officer

Phone

(408) 251-7900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1487059960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 330",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161590",
            "telephone_number": "408-251-7900",
            "fax_number": "408-258-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 330",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161590",
            "telephone_number": "408-251-7900",
            "fax_number": "408-258-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CARDIOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "408-251-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derik Jamon Everett Sr.
• Elizabeth Gabriela Everett
• T.C. N/a Everett Jr.
• Wendy Everett
• Evergreen Acupunture Clinic
• Evergreen Elementary School District
• Evergreen Eyecare Optometry Inc.
• Evergreen Golden Health Center a Medical Corporation
• Evergreen Hematology Oncology Associates
• Evergreen Hills Medical Group

• Cardiovascular Disease Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.