NPIMap

Individual provider Active NPI

Barbara Mah Hom, MD

  • Internal Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1356388516
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G524790 Issued in CA
Practice address
320 Dardanelli Lane
Ste 25B
Los Gatos, CA 95032-1419
Phone
(408) 370-7801
Fax
(408) 370-1175
NPI assigned
May 31, 2006
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G524790 CA Primary

Addresses

Primary practice location

320 Dardanelli Lane
Ste 25B
Los Gatos, CA 95032-1419

Mailing address

320 Dardanelli Lane
Ste 25B
Los Gatos, CA 95032-1419
Phone (408) 370-7801

Other identifiers 1

IdentifierTypeStateIssuer
00G524790MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302001052 CA Practitioner - Internal Medicine 6901088517 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

320 Dardanelli Lane
Suite 25B
Los Gatos, CA 95032-1419

320 Dardanelli LN
25B
Los Gatos, CA 95032-1419
Phone (408) 370-7801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as apm
Quality
74.21
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G524790CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1356388516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LANE",
            "address_2": "STE 25B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321419",
            "telephone_number": "408-370-7801",
            "fax_number": "408-370-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 DARDANELLI LANE",
            "address_2": "STE 25B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321419",
            "telephone_number": "408-370-7801",
            "fax_number": "408-370-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "BARBARA",
        "middle_name": "MAH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G524790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G524790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.