NPIMap

Organization Active NPI

El Camino Anesthesia

  • Anesthesiology Physician
  • Los Gatos, CA
National Provider Identifier
1356910053
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 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
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Steven G Xanthopoulos, MDNPI 1588736573
Title
President
Phone
(650) 242-6379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

39350 Civic Center Dr
Fremont, CA 94538
Phone (510) 299-3791

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

1060 Marsh Rd
Ste 100
Menlo Park, CA 94025
Phone (650) 646-7500

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1356910053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "800-232-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-378-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "XANTHOPOULOS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-242-6379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.