Active NPI
Reardon Clinton West III, M.D.
- Pathology Specialist/Technologist
- Los Gatos, CA
National Provider Identifier
1154427136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- G39428
- Practice address
- 100 Albright Way Ste C
Los Gatos, CA 95032-1837 - Phone
- (408) 866-5227
- Fax
- (408) 866-5228
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | G39428 | CA | Primary |
Addresses
Primary practice location
100 Albright Way Ste C
Los Gatos, CA 95032-1837
Mailing address
100 Albright Way Ste C
Los Gatos, CA 95032-1837
Phone (408) 866-5227
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
| License | State | Type | Specialty |
|---|---|---|---|
| G39428 | CA | MD | Pathology Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calpath Medical Associates | Current | Accepting new patients |
Locations
100 Albright Way
Ste C
Los Gatos, CA 95032
Phone (408) 866-5227
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
12935 Alcosta Blvd
Unit 3888
San Ramon, CA 94583
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.
-
- Clinical Medical Laboratory
- Campbell, CA
- NPI 1063518033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1154427136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ALBRIGHT WAY STE C",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321837",
"telephone_number": "408-866-5227",
"fax_number": "408-866-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ALBRIGHT WAY STE C",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321837",
"telephone_number": "408-866-5227",
"fax_number": "408-866-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "REARDON",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": "CA",
"license": "G39428",
"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 Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.