Individual provider Active NPI

Gregory Scott Macdonell, M.D.

  • Anesthesiology Physician
  • Los Gatos, CA
National Provider Identifier
1013932052
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G59930 Issued in CA
Practice address
15195 National Ave
#100
Los Gatos, CA 95032
Phone
(408) 356-0454
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G59930 CA Primary

Addresses

Primary practice location

15195 National Ave
#100
Los Gatos, CA 95032

Mailing address

718 University Ave
#211
Los Gatos, CA 95032
Phone (408) 354-2114

Other identifiers 1

IdentifierTypeStateIssuer
00G599300MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000831 CA Practitioner - Anesthesiology 5991993834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PC 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59930CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2014 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Oct 25, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2014 Accepting new patients
Forest Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
Santa Clara Anesthesia Solutions, Inc. Anesthesiology PastSince Apr 28, 2024 Accepting new patients
Los Gatos Surgical Center, a California Limited Partnership PastSince Jun 1, 2023 Accepting new patients
Joan Oloff D P M Inc Past Accepting new patients

Locations (25 of 32)

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300

3803 S Bascom Ave
Ste 106
Campbell, CA 95008
Phone (408) 249-3840

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

718 University Ave
Ste 211
Los Gatos, CA 95032
Phone (408) 354-2114

15466 Los Gatos Blvd
Ste 109297
Los Gatos, CA 95032
Phone (408) 354-2114

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

15195 National Ave
Ste 204
Los Gatos, CA 95032
Phone (408) 356-0988

15195 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0431

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

14601 S Bascom Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-6815

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

101 Addison Ave
Palo Alto, CA 94301
Phone (650) 433-8621

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

3468 California St
San Francisco, CA 94118
Phone (415) 345-0100

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1013932052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 UNIVERSITY AVE",
            "address_2": "#211",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-354-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE",
            "address_2": "#100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONELL",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G59930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G599300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.