Knowles Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

35648 Issued in CA

Legal business name

KNOWLES SURGERY CENTER LLC

Doing business as

Knowles Surgery Center

Practice address

555 Knowles Dr Ste 115
Los Gatos, CA 95032-1542

Phone

(408) 374-4400

Fax

(408) 374-4404

NPI assigned

Nov 10, 2010

Last updated

Oct 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• Knowles Surgery Center Doing business as

Listed as

Knowles Surgery Center LLCCCN 05C0001963

Medicare certification status

Terminated Voluntary: merger or closure, Jul 13, 2024From the Provider of Services file

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1215238076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 115",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321542",
            "telephone_number": "408-374-4400",
            "fax_number": "408-374-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 115",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321542",
            "telephone_number": "408-374-4400",
            "fax_number": "408-374-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "35648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knowles Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Klembara
• William C. Klindt, M.D.
• Edward Stanley Klofas, M.D
• Kari Leigh Knapstad, L. AC.
• Lora S Knol, PTA
• Lisa Knowles
• Kathryn Knudsen, LMFT
• Ko & Slaughter Chiropractic (ChiroBalance Spine & Sport)
• Derek Kenneth Ko, D.C
• Una Ko

• Ambulatory Surgical Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.