El Camino Anesthesia
Organization Active NPI Anesthesiology Physician · Los Gatos, CA
NPI 1356910053 · NPPES record last updated Aug 2, 2021
Key facts
- NPI
- 1356910053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- EL CAMINO ANESTHESIA
- Practice address
- 815 Pollard Rd
Los Gatos, CA 95032-1438 - Phone
- (408) 378-6131
- NPI assigned
- Jun 18, 2021
- Organization subpart
- No
Authorized official
- Name
- Steven G Xanthopoulos, MD
- Title
- President
- Phone
- (650) 242-6379
Practitioners 83
-
Brian G. Ash, M.D.
-
Carolina Cernicica Bagga, M.D.
-
Nivedita Bhown, M.D.
-
Raimy Boban, M.D.
-
Mark Brown, M.D.
-
Fang-Yu Chao, M.D.
-
Craig Chen, MD
-
Yousun Chung, M.D
-
Christopher Dinh, MD
-
Daniel Dinh, MD
-
Alexander Yuan Fu, M.D.
-
Margaret Goetsch, RN
-
John Hessler, DNP, CRNA
-
Mark Hessler, CRNA
-
Thuan Minh Ho, M.D.
-
Mary J Im, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210727004102 | CA | Part B Supplier - Clinic/Group Practice | 7517360639 |
Receives reassigned benefits from 82 practitioners Practice locations: Atherton, CA; Castro Valley, CA; Fremont, CA; Los Gatos, CA; Menlo Park, CA; Mountain View, CA; Palo Alto, CA |
National Provider Directory
Locations
1060 Marsh Rd
Ste 100
Menlo Park, CA 94025
Phone (650) 646-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
815 Pollard Rd
Los Gatos, CA 95032-1438
Mailing address
PO Box 235019
Montgomery, AL 36123-5019
Phone (800) 232-5703
Other providers in Los Gatos, CA
- Rachel Ann Edquilang
- James Frederick Edwards
- Brendan Cornelius Eggen
- Stephen Eggleston
- Linda Eglin
- El Camino Health Medical Group
- El Camino Hospital
- El Camino Hospital
- El Camino Hospital
- El Camino Hospital
All providers in Los Gatos, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.