NPIMap

Organization Active NPI

Los Gatos Medical Center

  • Substance Abuse Rehabilitation Facility
  • Los Gatos, CA
National Provider Identifier
1457893596
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
430083BP Issued in CA
Legal business name
LOS GATOS MEDICAL CENTER
Practice address
16400 Lark Ave
Ste 100
Los Gatos, CA 95032-2547
Phone
(408) 384-9719
Fax
(408) 358-2810
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Farzaneh Tabrizi, MDNPI 1194826909
Title
Director
Phone
(408) 384-9719

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
Substance Abuse Rehabilitation Facility 324500000X 430083BP CA Primary

Addresses

Primary practice location

16400 Lark Ave
Ste 100
Los Gatos, CA 95032-2547

Mailing address

16400 Lark Ave
Ste 100
Los Gatos, CA 95032-2547
Phone (408) 384-9719

National Provider Directory

National Provider Directory
Tax ID family
Los Gatos Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1457893596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322547",
            "telephone_number": "408-384-9719",
            "fax_number": "408-358-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 LARK AVE",
            "address_2": "STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322547",
            "telephone_number": "408-384-9719",
            "fax_number": "408-358-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS GATOS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "TABRIZI",
        "authorized_official_first_name": "FARZANEH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-384-9719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "430083BP",
            "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 Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.