Los Gatos Spinal Diagnostic, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LOS GATOS SPINAL DIAGNOSTIC, INC

Practice address

429 Llewellyn Ave
Campbell, CA 95008-1948

Phone

(408) 364-1616

Fax

(408) 378-6775

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sherman N Tran, MD

Title

Owner

Phone

(408) 364-1616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spine Sports Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Campbell, CA
  • NPI 1679913552

  O20090309000103

  Same enrollment

Listed as

Spine and Sports Surgery CenterCCN 05C0001851

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1053440917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 LLEWELLYN AVENUE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-364-1616",
            "fax_number": "408-378-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 LLEWELLYN AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081948",
            "telephone_number": "408-364-1616",
            "fax_number": "408-378-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS GATOS SPINAL DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-364-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lopez
• Zenaida Lopez
• Jacquelyn Lorell, L.AC.
• Amy Lorenzen
• Aubyn Loriaux
• Megan Ann Lott, AMFT
• Elham J Louis, D.O.
• Hayley Cristina Lovette
• Arthur W Low, O.D.
• Shelby Lozada, RBT

• Ambulatory Surgical Clinic/Center in Campbell, CA
• Providers in Campbell, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.