NPIMap

Organization Active NPI

LGTC Inc

Doing business as LGTC

  • Registered Dietitian
  • San Jose, CA
National Provider Identifier
1710749494
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LGTC INC
Doing business as
LGTC
LGTC Group
Practice address
482 W San Carlos St
San Jose, CA 95110-2627
Phone
(408) 559-3403
NPI assigned
Jan 29, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Eugene Tilman
Title
Director
Phone
(408) 559-3403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

482 W San Carlos St
San Jose, CA 95110-2627

Mailing address

4850 Union Ave
San Jose, CA 95124-5156

Other names 2

  • LGTC Doing business as
  • LGTC Group Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1710749494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 UNION AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 W SAN CARLOS ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102627",
            "telephone_number": "408-559-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-559-3403"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LGTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LGTC Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 14, 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.