Evergreen Clinic LLC
NPI 1689210551 · Family Medicine Physician · West Jordan, UT
Evergreen Clinic LLC is a Family Medicine Physician organization in West Jordan, UT (NPI 1689210551).
Provider details
- NPI number
- 1689210551
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ignacio Gonzalez, Administrator(801) 850-1958
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-25
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Frequently asked questions
- What is Evergreen Clinic LLC's NPI number?
- Evergreen Clinic LLC's National Provider Identifier (NPI) is 1689210551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Clinic LLC?
- Evergreen Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Clinic LLC located?
- Evergreen Clinic LLC's practice location on file with NPPES is 1561 W 7000 S Ste 100, West Jordan, UT 84084-3556.
- What is Evergreen Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Clinic LLC is (801) 850-1958.
- Who is the authorized official for Evergreen Clinic LLC?
- The authorized official listed on Evergreen Clinic LLC's NPPES record is Ignacio Gonzalez, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Clinic LLC's NPI active?
- Yes — Evergreen Clinic LLC's NPI (1689210551) is active in the NPPES registry as of the last update on 2020-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.