NPIMap

Organization Active NPI

LGTC Group

Doing business as Los Gatos Wellness Center

  • Mental Illness Community Based Residential Treatment Facility
  • Los Gatos, CA
National Provider Identifier
1891621660
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LGTC GROUP
Doing business as
Los Gatos Wellness Center
Practice address
25971 Mar Vista CT
Los Gatos, CA 95033-8026
Phone
(800) 913-2615
NPI assigned
Jun 19, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Yevgeniy Tilman
Title
Executive Director
Phone
(800) 913-2615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

25971 Mar Vista CT
Los Gatos, CA 95033-8026

Mailing address

4850 Union Ave
San Jose, CA 95124-5156

Other names 1

  • Los Gatos Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LGTC Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

Practitioners & affiliated clinicians

Practitioners 3

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": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1891621660",
    "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": "25971 MAR VISTA CT",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338026",
            "telephone_number": "800-913-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGTC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-913-2615"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Gatos Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.