Organization Active NPI

Los Olivos Womens Medical Clinic

  • Obstetrics & Gynecology Physician
  • Los Gatos, CA
National Provider Identifier
1194079491
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A120310 Issued in CA
Legal business name
LOS OLIVOS WOMENS MEDICAL CLINIC
Practice address
15151 National Ave
Los Gatos, CA 95032-2627
Phone
(408) 356-0431
Fax
(408) 358-1602
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Debbie L Sanders
Title
Business Manager
Phone
(408) 358-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A120310 CA Primary

Addresses

Primary practice location

15151 National Ave
Los Gatos, CA 95032-2627

Mailing address

15151 National Ave
Los Gatos, CA 95032-2627
Phone (408) 356-0431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1194079491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 NATIONAL AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322627",
            "telephone_number": "408-356-0431",
            "fax_number": "408-358-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 NATIONAL AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322627",
            "telephone_number": "408-356-0431",
            "fax_number": "408-358-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS OLIVOS WOMENS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "408-358-4845"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A120310",
            "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 Nov 8, 2012; 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.