Pediatric Gastroenterology Associates of Santa Clara Valley

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SANTA CLARA VALLEY

Practice address

2577 Samaritan Dr
Ste 815
San Jose, CA 95124

Phone

(408) 358-3573

Fax

(408) 356-2888

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Marjorie Frost McCracken, MD PHDNPI 1043327570

Title

Owner

Phone

(408) 358-3573

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Gasstroenterology Associates Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marjorie Frost McCracken, MD PHD

  • Pediatric Gastroenterology Physician
  • San Jose, CA
  • NPI 1043327570
  NPD (past) Authorized official
• Anders Karl Dahlstrom, MD PHD

  • Pediatric Gastroenterology Physician
  • San Jose, CA
  • NPI 1326113929

  Pediatrics

  NPD (past)
• Laura J Ohara, R.N., P.N.P.

  • Pediatric Nurse Practitioner
  • San Jose, CA
  • NPI 1003951310
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295893659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "address_2": "STE 815",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-3573",
            "fax_number": "408-356-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR",
            "address_2": "STE 815",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-358-3573",
            "fax_number": "408-356-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SANTA CLARA VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "FROST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-358-3573",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Gasstroenterology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vandana Peddu, MD
• Dan Miller Pedersen
• Nicole Pederson
• Pediatic Interventions, Inc
• Pediatric Cardiology Associates
• Pediatric Play Therapy
• Pediatric Play Therapy
• Pediatric Therapy Services
• Pedone and Associates
• Yasaman Pedram

• Pediatric Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.