Individual provider Active NPI

Robert Kwok, MD

  • Pediatrics Physician
  • Los Gatos, CA
National Provider Identifier
1114028453
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A46470 Issued in CA
Practice address
825 Pollard Rd
Suite 108
Los Gatos, CA 95032-1435
Phone
(408) 370-3774
Fax
(408) 370-7011
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A46470 CA Primary

Addresses

Primary practice location

825 Pollard Rd
Suite 108
Los Gatos, CA 95032-1435

Mailing address

825 Pollard Rd
Suite 108
Los Gatos, CA 95032-1435
Phone (408) 370-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46470CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Kwok, MD, Inc Pediatrics PastSince Apr 21, 2005 Accepting new patients

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1114028453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD",
            "address_2": "SUITE 108",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "408-370-3774",
            "fax_number": "408-370-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD",
            "address_2": "SUITE 108",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "408-370-3774",
            "fax_number": "408-370-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A46470",
            "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 Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.