Damon Russell Korb, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

A62686 Issued in CA

Practice address

15951 Los Gatos Blvd
St. 6
Los Gatos, CA 95032-3428

Phone

(408) 358-1853

Fax

(408) 358-1802

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Developing Minds Medical Corporation

  • Developmental - Behavioral Pediatrics Physician
  • Los Gatos, CA
  • NPI 1083748248
  NPD (past) Authorized official

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1164719498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD",
            "address_2": "ST. 6",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323428",
            "telephone_number": "408-358-1853",
            "fax_number": "408-358-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD",
            "address_2": "ST. 6",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323428",
            "telephone_number": "408-358-1853",
            "fax_number": "408-358-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORB",
        "first_name": "DAMON",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A62686",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "A62686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heda Koh, D.D.S.
• Yelena Marie Kolodji, RN, CNM
• Christina Konecny, MD
• Michael Kong
• Christopher D Konopa, LMFT
• Kothary Dental Corporation (Los Gatos Family Dental)
• Arek Kourouyan
• Janet Ellen Kraemer, PH.D.
• Barbara Lynn Kraft, MFT
• Charles Gregory Kraft, ED.D.

• Developmental - Behavioral Pediatrics Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Developmental - Behavioral Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.