Organization Active NPI

Skin Cancer Center of Silicon Valley Inc

  • MOHS-Micrographic Surgery Physician
  • Los Gatos, CA
National Provider Identifier
1225385883
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G41972 Issued in CA
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Steven L. Swengel, MDNPI 1316023823
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G419720MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.