Individual provider Active NPI

John D Sangueza, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Los Gatos, CA
National Provider Identifier
1407904501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4498 Issued in CA
Practice address
555 Knowles Dr
Ste. 220
Los Gatos, CA 95032-1549
Phone
(650) 906-8502
Fax
(408) 379-2672
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4498 CA Primary

Addresses

Primary practice location

555 Knowles Dr
Ste. 220
Los Gatos, CA 95032-1549

Mailing address

555 Knowles Dr
Ste. 220
Los Gatos, CA 95032-1549
Phone (650) 906-8502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000436 CA Practitioner - Podiatry 5193629830 Reassigns benefits to 1 organization
Practice locations: Los Gatos, CA; San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14981 National Ave
Suite 2
Los Gatos, CA 95032-2600
Phone (650) 906-8502

Hospital & facility affiliations

  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue497
Removal of nail tissue1376
Removal or shaving of skin growth573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4498CAMDSchool Psychologist

Interoperability endpoints

  • Direct secure messaging: jsangueza125989@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407904501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "STE. 220",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "650-906-8502",
            "fax_number": "408-379-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR",
            "address_2": "STE. 220",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321549",
            "telephone_number": "650-906-8502",
            "fax_number": "408-379-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGUEZA",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.