LGTC Group

Organization Active NPI Marriage & Family Therapist · San Jose, CA

NPI 1881482941 · NPPES record last updated Apr 16, 2026

Key facts

NPI
1881482941
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
LGTC GROUP
Practice address
4850 Union Ave
San Jose, CA 95124-5156
Phone
(800) 913-2615
NPI assigned
Apr 29, 2025
Organization subpart
No

Authorized official

Name
Yevgeniy Tilman
Title
Executive Director
Phone
(408) 505-1873

Corporate family (same tax ID) 4

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

Practitioners 152

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

View all 152

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250715000866 CA Part B Supplier - Clinic/Group Practice 0749795102 Receives reassigned benefits from 27 practitioners
Practice locations: Burlingame, CA; Sunnyvale, CA; San Jose, CA; Roseville, CA

National Provider Directory

Tax ID family
LGTC Group (5 organizations share this tax ID)

Locations

508 Gibson Dr
Ste 140
Roseville, CA 95678
Phone (916) 694-0555

1298 Kifer Rd
Ste 515
Sunnyvale, CA 94086
Phone (408) 559-3403

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103G00000X
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X Yes
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X
Child & Adolescent Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0804X
Geriatric Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0805X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X

Addresses

Primary practice location

4850 Union Ave
San Jose, CA 95124-5156

Mailing address

4850 Union Ave
San Jose, CA 95124-5156
Phone (800) 913-2615

Other providers in San Jose, CA

All providers in San Jose, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.