Individual provider Active NPI

Julia Sarah Kahan, M.D.

  • Specialist
  • Los Gatos, CA
National Provider Identifier
1225193121
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G69134 Issued in CA
Practice address
555 Knowles Dr
207
Los Gatos, CA 95032-1549
Phone
(408) 374-1110
Fax
(408) 374-1133
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G69134 CA Primary

Addresses

Primary practice location

555 Knowles Dr
207
Los Gatos, CA 95032-1549

Mailing address

555 Knowles Dr
207
Los Gatos, CA 95032-1549
Phone (408) 374-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000988 CA Practitioner - Orthopedic Surgery 0648302372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Occupation Medical AssociatesGroup PAC ID 2163555681, 2 clinicians

Practice addresses (Care Compare)

320 Dardanelli LN
Los Gatos, CA 95032-1440
Phone (408) 374-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69134CAMDSpecialist
69134CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Occupation Medical Associates Specialist CurrentSince Apr 1, 2014 Accepting new patients

Locations

320 Dardanelli Ln
Ste 27B
Los Gatos, CA 95032
Phone (408) 374-1110

555 Knowles Dr
Ste 207
Los Gatos, CA 95032
Phone (408) 374-1110

320 Dardanelli Ln
#27B
Los Gatos, CA 95032
Phone (408) 374-1110

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1225193121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "408-374-1110",
            "fax_number": "408-374-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "408-374-1110",
            "fax_number": "408-374-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHAN",
        "first_name": "JULIA",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G69134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.