Active NPI
Skin Cancer Center of Silicon Valley Inc
- MOHS-Micrographic Surgery Physician
- Los Gatos, CA
National Provider Identifier
1225385883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- G41972
- Legal business name
- SKIN CANCER CENTER OF SILICON VALLEY INC
- Practice address
- 800 Pollard Rd BLDG a
Los Gatos, CA 95032 - Phone
- (408) 688-2082
- NPI assigned
- Aug 13, 2012
- Last updated
- Nov 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven L. Swengel, MD
- Title
- Owner
- Phone
- (408) 688-2082
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | G41972 | CA | Primary |
Addresses
Primary practice location
800 Pollard Rd BLDG a
Los Gatos, CA 95032
Mailing address
PO Box 3444
Saratoga, CA 95070-1444
Phone (408) 688-2082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G419720 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- MOHS-Micrographic Surgery Physician
- Los Gatos, CA
- NPI 1316023823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573603200000",
"number": "1225385883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3444",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950701444",
"telephone_number": "408-688-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 POLLARD RD BLDG A",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032",
"telephone_number": "408-688-2082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN CANCER CENTER OF SILICON VALLEY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2019-11-13",
"status": "A",
"authorized_official_last_name": "SWENGEL",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-688-2082",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G41972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G419720",
"state": "CA"
}
],
"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 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.