Organization Active NPI

Specialized Surgeons, Inc.

  • Surgery Physician
  • Los Gatos, CA
National Provider Identifier
1093163388
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SPECIALIZED SURGEONS, INC.
Practice address
825 Pollard Rd
Los Gatos, CA 95032-1435
Phone
(669) 284-8181
Fax
(669) 284-8181
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Thomas Hirai, M.D.NPI 1134231384
Title
President
Phone
(206) 437-6576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

825 Pollard Rd
Los Gatos, CA 95032-1435

Mailing address

3141 Stevens Creek Blvd
#351
San Jose, CA 95117-1141
Phone (669) 284-8181

Other practice location 1

200 Jose Figueres Ave Ste 450
San Jose, CA 95116-1593
Phone (669) 284-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160712000106 CA Part B Supplier - Clinic/Group Practice 9931491065 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA; San Jose, CA

National Provider Directory

National Provider Directory

Locations

825 Pollard Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0444

2331 Montpelier Dr
Ste B
San Jose, CA 95116
Phone (408) 347-9001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1093163388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 STEVENS CREEK BLVD",
            "address_2": "#351",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171141",
            "telephone_number": "669-284-8181",
            "fax_number": "669-284-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "669-284-8181",
            "fax_number": "669-284-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Jose Figueres Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161593",
            "country_code": "US",
            "telephone_number": "669-284-8181",
            "fax_number": "669-284-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALIZED SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "HIRAI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-437-6576",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.