NPIMap

Organization Active NPI

Evergreen Sleep Center

  • Sleep Medicine (Internal Medicine) Physician
  • San Jose, CA
National Provider Identifier
1659752798
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
EVERGREEN SLEEP CENTER
Practice address
2365 Quimby Rd
Suite 210
San Jose, CA 95122-1337
Phone
(408) 258-5083
Fax
(408) 258-4347
NPI assigned
Jun 15, 2015
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Mr. Tam Hoang Nguyen, D.O.NPI 1962520478
Title
Ceo
Phone
(408) 258-5083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

2365 Quimby Rd
Suite 210
San Jose, CA 95122-1337

Mailing address

2110 McKee Road
San Jose, CA 95116-1427
Phone (408) 258-5083

National Provider Directory

National Provider Directory

Locations

2365 Quimby Rd
Ste 210
San Jose, CA 95122
Phone (408) 258-5083

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1659752798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 MCKEE ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161427",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 QUIMBY RD",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221337",
            "telephone_number": "408-258-5083",
            "fax_number": "408-258-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-258-5083",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.