Active NPI
Kelly Setoguchi, PA-C
- Physician Assistant
- Gilroy, CA
National Provider Identifier
1447617956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52954
- Practice address
- 8833 Monterey Rd
Gilroy, CA 95020-7200 - Phone
- (408) 842-1544
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52954 | CA | Primary |
Addresses
Primary practice location
8833 Monterey Rd
Gilroy, CA 95020-7200
Mailing address
5821 Recife Way
San Jose, CA 95120-1731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1447617956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 RECIFE WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951201731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8833 MONTEREY RD",
"city": "GILROY",
"state": "CA",
"postal_code": "950207200",
"telephone_number": "408-842-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETOGUCHI",
"first_name": "KELLY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52954",
"primary": true
}
],
"identifiers": [],
"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 Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.