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Evergreen Clinic LLC

Family Medicine Physician in West Jordan, UT · enumerated 2019 · authorized official Ignacio Gonzalez, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689210551

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Clinic LLC
Practice address 1561 W 7000 S Ste 100, West Jordan, UT, 84084
Phone (801) 850-1958
Fax (801) 747-6881
Enumeration date Nov 25, 2019
Last updated in NPPES Jan 13, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ignacio Gonzalez
Title Administrator
Phone (801) 850-1958

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-13. Verify at npiregistry.cms.hhs.gov.
Where is Evergreen Clinic LLC located?
The practice location on file with NPPES is in West Jordan, UT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-13.