NPIMap

Organization Active NPI

Losgatos Pediatrics

  • Pediatrics Physician
  • Los Gatos, CA
National Provider Identifier
1306804331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LOSGATOS PEDIATRICS
Practice address
320 Dardanelli LN
Ste # 16
Los Gatos, CA 95032-1440
Phone
(408) 866-7830
Fax
(408) 866-8103
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan K Bezecny, M.D.
Title
Physician
Phone
(408) 866-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

320 Dardanelli LN
Ste # 16
Los Gatos, CA 95032-1440

Mailing address

320 Dardanelli LN
Ste # 16
Los Gatos, CA 95032-1440
Phone (408) 866-7830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306804331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN",
            "address_2": "STE # 16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321440",
            "telephone_number": "408-866-7830",
            "fax_number": "408-866-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LN",
            "address_2": "STE # 16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321440",
            "telephone_number": "408-866-7830",
            "fax_number": "408-866-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOSGATOS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEZECNY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-866-7830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.