Active NPI
Taki N Anagnoston Medical Corporation
- Specialist
- Gilroy, CA
National Provider Identifier
1306954979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0C22061
- Legal business name
- TAKI N ANAGNOSTON MEDICAL CORPORATION
- Practice address
- 700 W 6TH St Ste R
Gilroy, CA 95020-6014 - Phone
- (408) 847-3100
- Fax
- (418) 847-4925
- NPI assigned
- Aug 25, 2006
- 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
- Dr. Taki N Anagnoston, M.D.
- Title
- President
- Phone
- (408) 847-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0C22061 | CA | Primary |
Addresses
Primary practice location
700 W 6TH St Ste R
Gilroy, CA 95020-6014
Mailing address
700 W 6TH St Ste R
Gilroy, CA 95020-6014
Phone (408) 847-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0001420 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
700 W 6th St
Ste R
Gilroy, CA 95020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306954979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W 6TH ST STE R",
"city": "GILROY",
"state": "CA",
"postal_code": "950206014",
"telephone_number": "408-847-3100",
"fax_number": "418-847-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W 6TH ST STE R",
"city": "GILROY",
"state": "CA",
"postal_code": "950206014",
"telephone_number": "408-847-3100",
"fax_number": "418-847-4925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKI N ANAGNOSTON MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANAGNOSTON",
"authorized_official_first_name": "TAKI",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-847-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "0C22061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0001420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, 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.