Individual provider Active NPI

Reardon Clinton West III, M.D.

  • Pathology Specialist/Technologist
  • Los Gatos, CA
National Provider Identifier
1154427136
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
G39428 Issued in CA
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

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
G39428CAMDPathology Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.