South Bascom Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G69138 Issued in CA

Legal business name

SOUTH BASCOM PEDIATRICS INC

Practice address

15899 Los Gatos Almaden Rd
Suite 4
Los Gatos, CA 95032-3739

Phone

(408) 356-7770

Fax

(408) 356-7774

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Beth Hughes, MD

Title

Cfo

Phone

(408) 356-7770

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1275542805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15899 LOS GATOS ALMADEN RD",
            "address_2": "SUITE 4",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323739",
            "telephone_number": "408-356-7770",
            "fax_number": "408-356-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15899 LOS GATOS ALMADEN RD",
            "address_2": "SUITE 4",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323739",
            "telephone_number": "408-356-7770",
            "fax_number": "408-356-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BASCOM PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "408-356-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69138",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G56745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Sorensen, LAC
• Marcia Soriano, PTA
• Jennifer L Sorrell, M.D.
• Jose Edgar Sosa Landa
• Raquel M Sotoavalos
• South Bay Joint Care Inc
• South Bay Medical Associates, Inc
• South Bay Medical Center Inc (Los Gatos Drug and Alcohol Recovery Center)
• South Bay Medical Center, Inc.
• South Bay Surgery Center, Inc.

• Pediatrics Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.